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General NPI Number Information
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NPI Number | 1437671047
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Entity Type | Organization
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Legal Business Name | SOS FOR FAMILIES, INC.
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 07/14/2017
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Provider Practice Location Address
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Address Line | 1810 E SCHNEIDMILLER AVE STE 131A
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City | POST FALLS
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State | ID
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Zip | 83854-6374
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Country | US
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Telephone | 208-215-1407
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3156
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City | POST FALLS
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State | ID
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Zip | 83877-3156
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Country | US
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Telephone | 208-215-1407
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BENNY KELL HENSON
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Credential |
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Telephone | 208-215-1407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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