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General NPI Number Information
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NPI Number | 1881027241
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Entity Type | Individual
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Provider Name | COLLEEN R FLEMING PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 1090 W PARK PL
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2785
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Country | US
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Telephone | 208-215-2005
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Fax | 844-807-3782
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Provider Business Mailing Address
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Address Line | PO BOX 1387
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City | HAYDEN
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State | ID
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Zip | 83835-1387
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Country | US
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Telephone | 208-415-0299
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Fax | 208-625-2070
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1010095243
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10935112
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202201642NP-PP
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 58380
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License Number State | ID
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