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General NPI Number Information
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NPI Number | 1700107877
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Entity Type | Individual
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Provider Name | KRISTIN MICHELE RUPINSKI B.A., Q.P., C.M.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 1200 W IRONWOOD DR SUITE 101
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2660
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Country | US
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Telephone | 208-667-2979
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Fax | 208-667-3569
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Provider Business Mailing Address
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Address Line | 3421 E EARLY DAWN AVE
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City | POST FALLS
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State | ID
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Zip | 83854-7911
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Country | US
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Telephone | 208-964-4507
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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