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General NPI Number Information
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NPI Number | 1144377854
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Entity Type | Individual
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Provider Name | JULENE DILLEHAY LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2112 CLEVELAND BLVD
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City | CALDWELL
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State | ID
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Zip | 83605-4432
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Country | US
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Telephone | 208-459-5066
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Fax |
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Provider Business Mailing Address
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Address Line | 5414 W FRANKLIN RD
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City | MERIDIAN
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State | ID
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Zip | 83642-5373
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Country | US
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Telephone | 208-459-5066
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Fax | 208-888-7477
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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 | LCPC232
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License Number State | ID
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