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General NPI Number Information
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NPI Number | 1588557607
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Entity Type | Individual
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Provider Name | TRISHA JOANNE SCHROEDER LPC
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Gender |
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 130 N 1ST W
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City | RIGBY
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State | ID
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Zip | 83442-1377
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Country | US
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Telephone | 208-351-5539
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Fax |
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Provider Business Mailing Address
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Address Line | 5295 PEVERO DR
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City | IDAHO FALLS
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State | ID
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Zip | 83401-6166
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Country | US
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Telephone | 208-219-6497
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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 | LPC-4171862
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License Number State | ID
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