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General NPI Number Information
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NPI Number | 1609756675
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Entity Type | Individual
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Provider Name | CAMRYN KAARLSEN
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Gender | Female
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 410 S ORCHARD ST
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City | BOISE
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State | ID
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Zip | 83705-1260
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Country | US
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Telephone | 208-214-7408
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Fax |
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Provider Business Mailing Address
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Address Line | 9448 W GRANGER CT
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City | BOISE
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State | ID
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Zip | 83704-5596
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Country | US
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Telephone | 208-949-8672
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC-9710
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License Number State | ID
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