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General NPI Number Information
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NPI Number | 1144096850
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Entity Type | Organization
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Legal Business Name | EMPOWERING HUMAN SERVICES, LLC.
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 250 S SKYLINE DR STE 3
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City | IDAHO FALLS
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State | ID
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Zip | 83402-3294
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Country | US
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Telephone | 208-537-1463
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Fax | 208-534-9225
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Provider Business Mailing Address
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Address Line | 250 S SKYLINE DR STE 3
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City | IDAHO FALLS
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State | ID
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Zip | 83402-3294
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Country | US
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Telephone | 208-537-1463
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Fax | 208-534-9225
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Authorized Official
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Title or Position | FOUNDER
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Name | CHRISTOPHER RYAN VIRGIN
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Credential |
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Telephone | 435-554-8474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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