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General NPI Number Information
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NPI Number | 1538091491
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Entity Type | Organization
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Legal Business Name | OVERLAND WELLNESS PLLC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 660 W CAPSTONE CT STE B
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City | HAYDEN
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State | ID
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Zip | 83835-8774
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Country | US
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Telephone | 208-295-9778
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Fax | 208-213-9369
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Provider Business Mailing Address
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Address Line | 660 W CAPSTONE CT STE B
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City | HAYDEN
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State | ID
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Zip | 83835-8774
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Country | US
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Telephone | 208-295-9778
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Fax | 208-213-9369
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Authorized Official
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Title or Position | DR
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Name | DR. HEATHER OVERLAND
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Credential | NMD, LAC
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Telephone | 208-295-9778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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