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General NPI Number Information
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NPI Number | 1548783293
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Entity Type | Individual
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Provider Name | JOHN RAYMOND NELMAR II LPC
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Gender | Male
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 1022 N 4TH ST STE 101
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City | COEUR D ALENE
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State | ID
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Zip | 83814-3100
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Country | US
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Telephone | 208-704-2062
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Fax |
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Provider Business Mailing Address
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Address Line | 4404 E EARLY DAWN AVE
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City | POST FALLS
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State | ID
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Zip | 83854-7916
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Country | US
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Telephone | 208-704-2062
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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 | 6575
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License Number State | ID
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