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General NPI Number Information
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NPI Number | 1396532370
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Entity Type | Organization
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Legal Business Name | SAWTOOTH RECOVERY LLC
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 802 N ACER LOOP STE 101&102
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City | NAMPA
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State | ID
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Zip | 83687-1114
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Country | US
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Telephone | 661-621-5859
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Fax |
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Provider Business Mailing Address
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Address Line | 1123 12TH AVE RD UNIT 203
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City | NAMPA
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State | ID
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Zip | 83686-5738
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Country | US
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Telephone | 661-621-5859
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Fax |
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Authorized Official
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Title or Position | OWNER/ BUSINESS DEVELOPMENT
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Name | STEPHEN WHITE
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Credential |
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Telephone | 661-621-5859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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