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General NPI Number Information
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NPI Number | 1245141837
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Entity Type | Individual
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Provider Name | ALYSSA NICOLE FREITAS MSW
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 1400 E SHERMAN AVE
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City | COEUR D ALENE
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State | ID
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Zip | 83814-4044
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Country | US
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Telephone | 208-966-4206
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 W PACIFIC AVE APT 209
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City | SPOKANE
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State | WA
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Zip | 99201-5860
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Country | US
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Telephone | 208-206-4868
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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