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General NPI Number Information
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NPI Number | 1922890557
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL ENHANCEMENT SERVICES & TREATMENT LLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1001 N 7TH AVE STE 115
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City | POCATELLO
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State | ID
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Zip | 83201-5788
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Country | US
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Telephone | 208-223-0240
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2811
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City | IDAHO FALLS
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State | ID
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Zip | 83403-2811
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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 | BILLING SUPERVISOR
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Name | DEMI ECHI-ABOLI
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Credential |
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Telephone | 208-360-1038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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