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General NPI Number Information
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NPI Number | 1326754896
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Entity Type | Individual
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Provider Name | ADELE COPFER
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Gender | Female
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Dates
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Enumeration Date | 01/27/2023
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 1579 W RIVERSTONE DR STE 1100
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City | COEUR D ALENE
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State | ID
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Zip | 83814-5760
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Country | US
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Telephone | 208-435-0788
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 772
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City | SHERWOOD
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State | OR
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Zip | 97140-0772
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Country | US
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Telephone | 509-589-0256
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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