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General NPI Number Information
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NPI Number | 1588002760
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Entity Type | Individual
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Provider Name | DIANA M BELL LCSW, LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 06/10/2013
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Provider Practice Location Address
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Address Line | 2719 S KIMBALL AVE
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City | CALDWELL
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State | ID
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Zip | 83605-5623
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Country | US
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Telephone | 208-459-6557
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Fax |
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Provider Business Mailing Address
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Address Line | 988 S SUB STATION RD P.O. BOX 1022
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City | EMMETT
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State | ID
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Zip | 83617-9430
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Country | US
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Telephone | 208-631-2659
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-28277
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT-3010
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License Number State | ID
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