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General NPI Number Information
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NPI Number | 1588673545
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Entity Type | Organization
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Legal Business Name | VIEW POINT ASSOCIATES
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1711 MILLENIUM WAY
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City | MERIDIAN
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State | ID
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Zip | 83642-1511
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Country | US
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Telephone | 208-884-4688
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Fax | 208-323-9070
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Provider Business Mailing Address
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Address Line | PO BOX 16820
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City | BOISE
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State | ID
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Zip | 83715-6820
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Country | US
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Telephone | 208-884-4688
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Fax | 208-323-9070
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Authorized Official
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Title or Position | PHYCHOLOGIST
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Name | VIRGINIA PAGE HAVILAND
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Credential | PH.D
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Telephone | 208-884-4688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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