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General NPI Number Information
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NPI Number | 1174155741
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Entity Type | Organization
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Legal Business Name | NOBLE INTENT LLC
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 3501 W ELDER ST STE 300
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City | BOISE
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State | ID
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Zip | 83705-4986
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Country | US
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Telephone | 208-286-1529
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Fax | 208-445-2285
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Provider Business Mailing Address
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Address Line | 1406 N MAIN ST STE 204
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City | MERIDIAN
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State | ID
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Zip | 83642-1746
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Country | US
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Telephone | 208-899-2227
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JENA KATHLEEN SCHILDHAUER
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Credential | LCSW
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Telephone | 208-899-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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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 |
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License Number State |
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