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General NPI Number Information
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NPI Number | 1629864483
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Entity Type | Organization
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Legal Business Name | NAMI FAR NORTH IDAHO
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 513 N 4TH AVE
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City | SANDPOINT
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State | ID
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Zip | 83864-1585
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Country | US
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Telephone | 925-818-4515
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2415
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City | SANDPOINT
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State | ID
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Zip | 83864-0913
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Country | US
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Telephone | 208-290-1768
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DAWN MEHRA
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Credential | DVM
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Telephone | 208-290-1768
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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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