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General NPI Number Information
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NPI Number | 1861283525
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Entity Type | Organization
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Legal Business Name | TUELLER COUNSELING INC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 420 W 4TH S
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City | REXBURG
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State | ID
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Zip | 83440-2319
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Country | US
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Telephone | 208-656-4017
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Fax | 208-524-8004
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Provider Business Mailing Address
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Address Line | 2265 W BROADWAY ST
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City | IDAHO FALLS
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State | ID
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Zip | 83402-2996
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Country | US
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Telephone | 208-524-7400
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Fax | 208-524-8004
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | ZACHARY STEPHEN HADDON-DENNIS
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Credential |
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Telephone | 205-524-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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