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General NPI Number Information
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NPI Number | 1669739272
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Entity Type | Organization
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Legal Business Name | NETWORK HOMES MENTAL HEALTH FOUNDATION CORP
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 5460 W FRANKLIN RD SUITE B
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City | BOISE
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State | ID
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Zip | 83705-1080
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Country | US
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Telephone | 208-344-2197
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Fax | 208-342-3094
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Provider Business Mailing Address
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Address Line | 5460 W FRANKLIN RD SUITE B
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City | BOISE
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State | ID
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Zip | 83705-1080
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Country | US
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Telephone | 208-344-2197
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Fax | 208-342-3094
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. TODD OLSHEFSKI
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Credential |
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Telephone | 208-344-2197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | ID
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Taxonomy #3
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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 | ID
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Taxonomy #4
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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