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General NPI Number Information
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NPI Number | 1457696692
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Entity Type | Organization
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Legal Business Name | AAA COUNSELING/THERAPY & SERVICES
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 2989 E 3600 N
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City | TWIN FALLS
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State | ID
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Zip | 83301-8722
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Country | US
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Telephone | 208-944-9418
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Fax | 208-944-9418
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Provider Business Mailing Address
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Address Line | 2989 E 3600 N
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City | TWIN FALLS
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State | ID
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Zip | 83301-8722
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Country | US
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Telephone | 208-944-9418
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Fax | 208-944-9418
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MS. BELINDA J TURLEY
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Credential | ED.S.
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Telephone | 208-944-9418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LMSW-31713
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License Number State | ID
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