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General NPI Number Information
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NPI Number | 1164679932
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Entity Type | Individual
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Provider Name | OREANA D BOHENEK LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 444 W FORT ST FL 2
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City | BOISE
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State | ID
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Zip | 83702-4535
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Country | US
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Telephone | 208-422-1018
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Fax |
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Provider Business Mailing Address
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Address Line | 8284 W MORNIN MIST CT
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City | BOISE
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State | ID
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Zip | 83709-0777
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Country | US
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Telephone | 208-850-2726
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Fax | 208-375-2023
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW1165
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License Number State | ID
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