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General NPI Number Information
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NPI Number | 1073113395
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Entity Type | Organization
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Legal Business Name | JULIE TRANA COUNSELING LLC
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 693 E WYTHE CREEK CT
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City | KUNA
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State | ID
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Zip | 83634-5273
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Country | US
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Telephone | 208-917-3739
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 933
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City | KUNA
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State | ID
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Zip | 83634-0900
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Country | US
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Telephone | 208-917-3739
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JULIE TRANA
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Credential | LCPC
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Telephone | 208-917-3739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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