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General NPI Number Information
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NPI Number | 1841159803
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Entity Type | Individual
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Provider Name | PATRICK FORTE
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Gender | Male
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 4696 W OVERLAND RD STE 182
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City | BOISE
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State | ID
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Zip | 83705-2878
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Country | US
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Telephone | 949-413-2937
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Fax | 208-508-9850
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Provider Business Mailing Address
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Address Line | 4696 W OVERLAND RD STE 182
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City | BOISE
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State | ID
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Zip | 83705-2878
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Country | US
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Telephone | 949-413-2937
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Fax | 208-508-9850
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | ID
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