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General NPI Number Information
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NPI Number | 1912395724
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Entity Type | Organization
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Legal Business Name | BETTS PSYCHIATRIC, PC
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Dates
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Enumeration Date | 12/31/2014
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1632 ADDISON AVE E
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City | TWIN FALLS
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State | ID
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Zip | 83301-5358
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Country | US
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Telephone | 208-886-3131
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Fax | 208-886-3133
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Provider Business Mailing Address
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Address Line | 1632 ADDISON AVE E
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City | TWIN FALLS
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State | ID
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Zip | 83301-5358
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Country | US
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Telephone | 208-886-3131
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Fax | 208-886-3133
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | SHELLY BETTS
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Credential |
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Telephone | 208-886-3131
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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 |
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License Number State |
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