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General NPI Number Information
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NPI Number | 1417370842
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Entity Type | Organization
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Legal Business Name | CHIEF TAHGEE ELEMENTARY ACADEMY, INC.
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 38 S. HILINE ROAD
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City | POCATELLO
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State | ID
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Zip | 83203
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Country | US
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Telephone | 208-237-2710
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Fax | 208-237-1734
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Provider Business Mailing Address
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Address Line | 38 S. HILINE ROAD PO BOX 217
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City | FORT HALL
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State | ID
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Zip | 83203
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Country | US
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Telephone | 208-237-2710
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Fax | 208-237-1734
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MR. DAVID MIRHADI
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Credential | M.ED.
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Telephone | 208-237-2710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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