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General NPI Number Information
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NPI Number | 1295460046
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Entity Type | Organization
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Legal Business Name | INNER HEART THERAPY, LLC
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Dates
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Enumeration Date | 07/17/2022
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Last Update Date | 07/17/2022
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Provider Practice Location Address
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Address Line | 784 S CLEARWATER LOOP STE B
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City | POST FALLS
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State | ID
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Zip | 83854-9599
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Country | US
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Telephone | 509-903-6024
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Fax |
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Provider Business Mailing Address
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Address Line | 784 S CLEARWATER LOOP STE B
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City | POST FALLS
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State | ID
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Zip | 83854-9599
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Country | US
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Telephone | 509-903-6024
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | TAYLOR GARFF
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Credential | LCPC, CMHC
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Telephone | 509-903-6204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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