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General NPI Number Information
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NPI Number | 1104840438
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Entity Type | Individual
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Provider Name | EMMA MARIE SUNSHAW PHD, LPC
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 1560 S CAROL ST
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City | MERIDIAN
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State | ID
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Zip | 83646-1839
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Country | US
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Telephone | 208-994-5343
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Fax |
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Provider Business Mailing Address
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Address Line | 1560 S CAROL ST
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City | MERIDIAN
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State | ID
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Zip | 83646-1839
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Country | US
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Telephone | 208-994-5343
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 03955
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11743380-6004
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9059
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2629
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00927400
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License Number State | NJ
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