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General NPI Number Information
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NPI Number | 1316042799
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Entity Type | Individual
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Provider Name | STEPHANIE L HAUSER LPC
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Gender | Female
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 07/20/2009
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Provider Practice Location Address
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Address Line | 6203 W FRANKLIN RD
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City | BOISE
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State | ID
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Zip | 83709-1042
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Country | US
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Telephone | 208-949-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 6203 W FRANKLIN RD
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City | BOISE
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State | ID
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Zip | 83709-1042
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Country | US
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Telephone | 208-949-3056
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3764
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4209
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 00276
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License Number State | MN
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