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General NPI Number Information
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NPI Number | 1578676813
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Entity Type | Individual
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Provider Name | STEVE THAXTON LCPC
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 1250 W CHERRY LN
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City | MERIDIAN
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State | ID
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Zip | 83642-1514
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Country | US
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Telephone | 208-887-1911
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 W CHERRY LN
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City | MERIDIAN
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State | ID
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Zip | 83642-1514
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Country | US
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Telephone | 208-887-1911
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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 | 010068
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 60821655
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 123387771-6004
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCPC 364
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 364
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License Number State | ID
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