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General NPI Number Information
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NPI Number | 1679504930
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Entity Type | Individual
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Provider Name | LORN HENRY ADKINS LPCP
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1517 W JEFFERSON ST
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City | BOISE
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State | ID
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Zip | 83702-5218
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Country | US
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Telephone | 208-385-0888
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Fax |
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Provider Business Mailing Address
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Address Line | 4440 N CROFT PL
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City | EAGLE
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State | ID
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Zip | 83616-2263
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Country | US
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Telephone |
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPCP21
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License Number State | ID
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