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General NPI Number Information
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NPI Number | 1144373283
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Entity Type | Individual
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Provider Name | PAUL L HARMAN LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 794 EASTLAND DR
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City | TWIN FALLS
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State | ID
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Zip | 83301-6856
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Country | US
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Telephone | 208-734-1281
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Fax | 208-734-1282
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Provider Business Mailing Address
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Address Line | 2843 DENISE AVE
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City | TWIN FALLS
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State | ID
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Zip | 83301-7543
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Country | US
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Telephone | 208-734-1281
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Fax | 208-734-1282
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | RC00052893
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW29916
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License Number State | ID
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