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General NPI Number Information
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NPI Number | 1245020775
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Entity Type | Individual
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Provider Name | NOAH SCHUERMAN
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Gender | Male
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 155 MAIN ST SUITE 3
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City | OROFINO
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State | ID
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Zip | 83544
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Country | US
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Telephone | 208-746-4097
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Fax |
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Provider Business Mailing Address
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Address Line | 305 N. BELLE ST BOX 132
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City | PECK
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State | ID
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Zip | 83545
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Country | US
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Telephone | 208-792-1167
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Fax |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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