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General NPI Number Information
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NPI Number | 1184326142
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Entity Type | Organization
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Legal Business Name | AMBERS HOUSE OF INTEGRATIVE THERAPY FOR ALL AGES
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 4090 W STATE ST STE 103
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City | BOISE
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State | ID
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Zip | 83703-4450
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Country | US
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Telephone | 208-867-3288
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Fax | 888-730-6010
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Provider Business Mailing Address
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Address Line | 10177 W CANTERBURY DR
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City | BOISE
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State | ID
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Zip | 83704-5319
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Country | US
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Telephone | 208-867-3288
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Fax | 888-730-6010
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | AMBER LYNN HOID
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Credential | LCSW
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Telephone | 208-867-3288
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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 |
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License Number State |
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