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NPI 1861374985

NPI 1861374985 : SOL THERAPY LLC : BOISE, ID

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General NPI Number Information
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    NPI Number           |    1861374985
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOL THERAPY LLC 
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Dates
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    Enumeration Date     |    07/21/2025
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    Last Update Date     |    07/21/2025
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Provider Practice Location Address
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    Address Line         |    1414 W FRANKLIN ST STE 8 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83702-5023
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    Country              |    US
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    Telephone            |    208-243-9504
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1414 W FRANKLIN ST STE 8 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83702-5023
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ABIGAIL  FREER 
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    Credential           |    
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    Telephone            |    208-243-9504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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