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General NPI Number Information
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NPI Number | 1598425027
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Entity Type | Organization
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Legal Business Name | ADVOCATE WARRIORS LLC
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Dates
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Enumeration Date | 12/24/2021
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 4696 W OVERLAND RD STE 182
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City | BOISE
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State | ID
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Zip | 83705-2878
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Country | US
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Telephone | 208-421-6612
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Fax |
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Provider Business Mailing Address
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Address Line | 8918 W NORTHVIEW ST
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City | BOISE
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State | ID
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Zip | 83704-7017
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Country | US
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Telephone | 208-421-6612
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIKAYLA E RIRIE
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Credential | MA
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Telephone | 208-421-6612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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