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General NPI Number Information
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NPI Number | 1073403200
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Entity Type | Organization
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Legal Business Name | EMBRACE CONNECTIONS LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 3006 E GOLDSTONE DR
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City | MERIDIAN
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State | ID
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Zip | 83642-1549
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Country | US
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Telephone | 208-250-7591
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Fax |
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Provider Business Mailing Address
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Address Line | 4271 E BLUEBERRY LN
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City | MERIDIAN
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State | ID
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Zip | 83642-7357
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA MARQUEZ
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Credential |
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Telephone | 208-250-7591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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