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General NPI Number Information
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NPI Number | 1659280550
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Entity Type | Organization
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Legal Business Name | ANGIE ELIN RECOVERY & WELLNESS INC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 1018 W SANETTA ST
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City | NAMPA
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State | ID
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Zip | 83651-5047
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Country | US
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Telephone | 208-918-0477
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Fax |
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Provider Business Mailing Address
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Address Line | 1018 W SANETTA ST
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City | NAMPA
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State | ID
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Zip | 83651-5047
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Country | US
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Telephone | 208-918-0477
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGIE ELIN MOSES
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Credential | LMFT
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Telephone | 801-645-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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