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General NPI Number Information
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NPI Number | 1902783657
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Entity Type | Individual
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Provider Name | ANN MARIE MCGAVER BCMHC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2005 N IRONWOOD PKWY STE 120
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2647
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Country | US
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Telephone | 208-500-1492
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Fax |
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Provider Business Mailing Address
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Address Line | 3302 W MAGISTRATE LOOP
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City | HAYDEN
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State | ID
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Zip | 83835-5019
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Country | US
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Telephone | 208-819-0565
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Fax |
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State | ID
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