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General NPI Number Information
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NPI Number | 1861336992
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Entity Type | Organization
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Legal Business Name | NORTH IDAHO CLASSICAL ACADEMY LLC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 6672 RIVERSIDE STREET
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City | BONNERS FERRY
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State | ID
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Zip | 83805
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Country | US
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Telephone | 208-614-2445
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 88
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City | BONNERS FERRY
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State | ID
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Zip | 83805-0088
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Country | US
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Telephone | 208-614-2445
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Fax |
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Authorized Official
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Title or Position | HEAD OF SCHOOL
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Name | DR. JACOB FRANCOM
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Credential |
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Telephone | 208-614-2445
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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 |
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