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General NPI Number Information
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NPI Number | 1821534017
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Entity Type | Individual
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Provider Name | MAI LE PROVENCIO LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 7235 W POTOMAC DR STE 220
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City | BOISE
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State | ID
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Zip | 83704-9133
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Country | US
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Telephone | 208-794-9703
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Fax |
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Provider Business Mailing Address
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Address Line | 7235 W POTOMAC DR STE 220
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City | BOISE
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State | ID
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Zip | 83704-9133
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Country | US
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Telephone | 208-576-0571
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-34323
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License Number State | ID
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