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General NPI Number Information
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NPI Number | 1134667637
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Entity Type | Organization
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Legal Business Name | FOCUSED BEHAVIOR SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 455 JUNEBERRY LN
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City | PRIEST RIVER
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State | ID
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Zip | 83856-9366
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Country | US
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Telephone | 208-217-5529
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Fax |
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Provider Business Mailing Address
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Address Line | 455 JUNEBERRY LN
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City | PRIEST RIVER
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State | ID
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Zip | 83856-9366
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Country | US
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Telephone | 208-217-5529
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RACHEL M POPE
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Credential | MA BCBA
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Telephone | 208-217-5529
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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 | 1-16-23865
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License Number State | ID
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