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General NPI Number Information
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NPI Number | 1164799235
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Entity Type | Organization
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Legal Business Name | FAMILY SERVICES TREATMENT
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 395 S 16TH ST
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City | PAYETTE
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State | ID
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Zip | 83661-3351
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Country | US
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Telephone | 208-642-6160
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Fax | 208-642-6171
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Provider Business Mailing Address
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Address Line | PO BOX 981
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City | EMMETT
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State | ID
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Zip | 83617-0981
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | APRIL BROWNE
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Credential |
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Telephone | 208-365-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | ID
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