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General NPI Number Information
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NPI Number | 1669408860
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Entity Type | Individual
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Provider Name | JANE E SEYS NP CNS
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 13500 S. PLEASANT VALLEY RD IDAHO STATE CORRECTIONAL INSTITUTION
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City | KUNA
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State | ID
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Zip | 83634
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Country | US
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Telephone | 208-336-0740
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Fax | 574-722-9523
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Provider Business Mailing Address
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Address Line | 7301 W. E MERALD ST. SUITE 103 CORIZON
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City | BOISE
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State | ID
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Zip | 83704
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Country | US
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Telephone | 208-322-3555
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Fax | 208-322-6809
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 70000035A
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License Number State | IN
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