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General NPI Number Information
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NPI Number | 1427755420
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Entity Type | Organization
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Legal Business Name | OSPREY COUNSELING
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 5503 W KENDALL ST
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City | BOISE
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State | ID
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Zip | 83706-1240
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Country | US
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Telephone | 208-912-7362
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Fax | 208-738-5858
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Provider Business Mailing Address
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Address Line | 1111 S ORCHARD ST STE 168
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City | BOISE
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State | ID
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Zip | 83705-1977
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Country | US
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Telephone | 208-912-7362
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ABIGAIL GREEN
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Credential |
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Telephone | 208-912-7362
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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 |
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License Number State |
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