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General NPI Number Information
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NPI Number | 1821902818
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Entity Type | Organization
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Legal Business Name | IDAHO HOME LEARNING ACADEMY
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 195 S 300 E
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City | MALAD CITY
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State | ID
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Zip | 83252-1343
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Country | US
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Telephone | 208-534-6080
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Fax | 208-550-3825
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Provider Business Mailing Address
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Address Line | 195 S 300 E
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City | MALAD CITY
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State | ID
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Zip | 83252-1343
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Country | US
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Telephone | 208-534-6080
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Fax | 208-550-3825
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Authorized Official
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Title or Position | SPECIAL EDUCATION DIRECTOR
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Name | JILL DANIELS
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Credential | ME
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Telephone | 208-534-6080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | NULL
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