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General NPI Number Information
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NPI Number | 1487061818
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Entity Type | Individual
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Provider Name | NICK ALLISON LPC
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Gender | Male
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 11/30/2025
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Provider Practice Location Address
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Address Line | 343 E 4TH N STE 231
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City | REXBURG
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State | ID
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Zip | 83440-6009
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Country | US
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Telephone | 208-656-4017
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Fax | 208-656-4018
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Provider Business Mailing Address
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Address Line | 405 W 4TH S
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City | REXBURG
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State | ID
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Zip | 83440-2319
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Country | US
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Telephone | 208-534-8607
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-5525
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License Number State | ID
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