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General NPI Number Information
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NPI Number | 1447305453
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Entity Type | Organization
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Legal Business Name | CONCEPTS INC.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1380 E GRIFFON ST
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City | MERIDIAN
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State | ID
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Zip | 83642-7473
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Country | US
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Telephone | 208-861-1223
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Fax |
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Provider Business Mailing Address
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Address Line | 2422 12TH AVE RD # 328
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City | NAMPA
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State | ID
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Zip | 83686-6300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. CRAIG M. NIELSON
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Credential |
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Telephone | 208-861-1223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | ID
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