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General NPI Number Information
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NPI Number | 1609997147
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Entity Type | Organization
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Legal Business Name | HEALTHY PROGRESSION OF TWIN FALLS
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 451 EASTLAND DR STE. #7
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City | TWIN FALLS
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State | ID
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Zip | 83301-7454
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Country | US
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Telephone | 208-737-0808
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Fax | 208-737-0808
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Provider Business Mailing Address
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Address Line | 451 EASTLAND DR STE. #7
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City | TWIN FALLS
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State | ID
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Zip | 83301-7454
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Country | US
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Telephone | 208-737-0808
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Fax | 208-737-0808
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Authorized Official
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Title or Position | BEHAVIORAL THERIPIST
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Name | MR. SCOTT MARSHAL THOMPSON
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Credential | M. ED.
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Telephone | 208-737-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LICENSE NOT NEEDED
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License Number State | ID
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