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General NPI Number Information
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NPI Number | 1083405294
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Entity Type | Organization
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Legal Business Name | BEYOND THE SCARS LLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 920 DEON DR STE A
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City | POCATELLO
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State | ID
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Zip | 83201-3069
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Country | US
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Telephone | 208-851-3454
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Fax |
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Provider Business Mailing Address
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Address Line | 1554 SHASTA ST
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City | POCATELLO
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State | ID
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Zip | 83201-2249
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Country | US
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Telephone | 208-851-3454
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Fax |
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Authorized Official
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Title or Position | FOUNDER & RN
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Name | MARIBEL TORRES
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Credential | RN
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Telephone | 435-230-2571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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