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General NPI Number Information
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NPI Number | 1689929713
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Entity Type | Individual
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Provider Name | ESTHER ANN MCCLEAFT LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/15/2012
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Last Update Date | 07/15/2012
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Provider Practice Location Address
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Address Line | 1224 1ST ST S
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City | NAMPA
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State | ID
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Zip | 83651-3900
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Country | US
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Telephone | 208-442-8052
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Fax |
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Provider Business Mailing Address
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Address Line | 6864 LAMPLIGHTER ST
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City | BOISE
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State | ID
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Zip | 83714-2443
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Country | US
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Telephone | 208-598-0372
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 32216
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License Number State | ID
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