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General NPI Number Information
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NPI Number | 1790566222
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Entity Type | Organization
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Legal Business Name | PAWSITIVE PATHWAYS PSYCHIATRY LLC
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 409 E COEUR D ALENE AVE
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City | COEUR D ALENE
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State | ID
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Zip | 83814
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Country | US
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Telephone | 208-449-2860
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Fax | 208-601-6125
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Provider Business Mailing Address
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Address Line | 236 EL SARA DR
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City | NEW TAZEWELL
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State | TN
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Zip | 37825-7135
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Country | US
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Telephone | 208-449-2860
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Fax | 208-601-6125
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN TAYLOR HALL
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Credential | PMHNP
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Telephone | 208-449-2860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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