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General NPI Number Information
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NPI Number | 1255034419
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Entity Type | Organization
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Legal Business Name | WH RECOVERY POST FALLS INC
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 2067 W ALSEA AVE
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City | POST FALLS
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State | ID
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Zip | 83854-7920
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Country | US
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Telephone | 800-510-5393
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Fax |
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Provider Business Mailing Address
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Address Line | 2067 W ALSEA AVE
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City | POST FALLS
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State | ID
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Zip | 83854-7920
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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 | PROGRAM DIRECTOR
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Name | MARLEY WEST
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Credential |
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Telephone | 323-522-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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