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General NPI Number Information
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NPI Number | 1346672946
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Entity Type | Individual
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Provider Name | JANICE ANDREWS ACADC
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Gender | Female
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 8620 W EMERALD ST STE 150
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City | BOISE
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State | ID
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Zip | 83704-4839
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Country | US
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Telephone | 208-672-2900
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Fax | 20-867-2291
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Provider Business Mailing Address
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Address Line | 1513 N 22ND ST
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City | BOISE
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State | ID
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Zip | 83702-0403
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Country | US
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Telephone | 208-284-8895
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10144
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2675
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License Number State | ID
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