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General NPI Number Information
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NPI Number | 1700895893
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Entity Type | Individual
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Provider Name | JEFFERY THOMAS MEECH PSYD, MSCP
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 509 W. HANLEY AVE STE 101
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City | COEUR D' ALENE
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State | ID
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Zip | 83815-8994
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Country | US
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Telephone | 208-666-0357
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Fax | 208-666-0468
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Provider Business Mailing Address
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Address Line | 509 W. HANLEY AVE STE 101
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City | COEUR D' ALENE
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State | ID
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Zip | 83815-8994
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Country | US
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Telephone | 208-666-0357
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Fax | 208-666-0468
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-202532
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License Number State | ID
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