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General NPI Number Information
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NPI Number | 1407006067
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Entity Type | Individual
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Provider Name | DENYS TAIPALE-KNIGHT M.ED
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Gender | Female
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 09/19/2008
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Provider Practice Location Address
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Address Line | 385 MOOSE RIDGE LANE
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City | BONNERS FERRY
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State | ID
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Zip | 83805
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Country | US
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Telephone | 208-267-7607
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3142
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City | BONNERS FERRY
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State | ID
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Zip | 83805-3142
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Country | US
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Telephone | 208-267-7607
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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 | LCPC-3383
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License Number State | ID
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