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General NPI Number Information
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NPI Number | 1760397673
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Entity Type | Organization
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Legal Business Name | ADAM PURCELL LCSW PLLC
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 2417 W BANK DR STE 201A
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City | BOISE
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State | ID
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Zip | 83705-2573
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Country | US
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Telephone | 208-495-6513
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Fax | 208-279-0517
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Provider Business Mailing Address
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Address Line | 3659 S CREEKWOOD WAY
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City | BOISE
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State | ID
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Zip | 83709-6072
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Country | US
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Telephone | 208-495-6513
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Fax | 208-279-0517
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Authorized Official
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Title or Position | LCSW
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Name | ADAM PURCELL
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Credential | LCSW
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Telephone | 208-495-6513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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