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General NPI Number Information
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NPI Number | 1578810529
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Entity Type | Individual
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Provider Name | ROMONA F REYES
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Gender | Female
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 2068 S EAGLE RD
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City | MERIDIAN
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State | ID
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Zip | 83642-6707
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Country | US
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Telephone | 208-340-1688
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Fax | 208-887-3660
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Provider Business Mailing Address
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Address Line | 1031 W SANETTA ST
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City | NAMPA
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State | ID
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Zip | 83651-5047
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Country | US
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Telephone | 208-409-5371
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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