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General NPI Number Information
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NPI Number | 1760440325
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Entity Type | Individual
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Provider Name | JACK ALBAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 111 PALMER DR
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City | NAMPA
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State | ID
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Zip | 83686-8313
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Country | US
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Telephone | 208-467-2741
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Fax |
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Provider Business Mailing Address
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Address Line | 111 PALMER DR
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City | NAMPA
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State | ID
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Zip | 83686-8313
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Country | US
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Telephone | 208-467-2741
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-162
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License Number State | ID
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