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General NPI Number Information
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NPI Number | 1578720033
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Entity Type | Organization
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Legal Business Name | WEST VALLEY THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 3720 S INDIANA AVE
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City | CALDWELL
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State | ID
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Zip | 83605-6457
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Country | US
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Telephone | 208-459-6041
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Fax | 208-459-0346
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Provider Business Mailing Address
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Address Line | 1717 ARLINGTON AVE
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City | CALDWELL
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State | ID
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Zip | 83605-4802
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Country | US
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Telephone | 208-459-6041
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Fax | 208-459-0346
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Authorized Official
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Title or Position | DIRECTOR REVENUE INTEGRITY
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Name | MRS. LORI ANN WARREN
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Credential |
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Telephone | 208-455-3957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 04
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License Number State | ID
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