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General NPI Number Information
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NPI Number | 1396110458
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Entity Type | Organization
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Legal Business Name | KAFIA ABBASI MD CHTD
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 413 N ALLUMBAUGH ST STE 101
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City | BOISE
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State | ID
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Zip | 83704-9219
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Country | US
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Telephone | 208-323-1125
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Fax |
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Provider Business Mailing Address
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Address Line | 413 N ALLUMBAUGH ST STE 101
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City | BOISE
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State | ID
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Zip | 83704-9219
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Country | US
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Telephone | 208-323-1125
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ALISON DUNBAR
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Credential |
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Telephone | 208-954-5573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | M-11136
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License Number State | ID
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