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General NPI Number Information
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NPI Number | 1154770295
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Entity Type | Organization
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Legal Business Name | RACHEL MEILAND WEBSTER
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Dates
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Enumeration Date | 06/09/2016
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Last Update Date | 06/10/2016
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Provider Practice Location Address
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Address Line | 6686 AUGUSTA BLDG 100
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City | BONNERS FERRY
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State | ID
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Zip | 83805
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Country | US
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Telephone | 208-946-0001
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Fax | 208-267-1922
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Provider Business Mailing Address
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Address Line | 6686 AUGUSTA BLDG 100
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City | BONNERS FERRY
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State | ID
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Zip | 83805
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Country | US
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Telephone | 208-946-0001
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Fax | 208-267-1922
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL E MEILAND-WEBSTER
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Credential | LCSW, MAC
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Telephone | 208-946-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW 28304
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License Number State | ID
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