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General NPI Number Information
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NPI Number | 1942653589
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Entity Type | Individual
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Provider Name | ALISON MARIE CAPURRO M.S.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 1414 W FRANKLIN ST
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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 | 208-991-0883
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Fax |
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Provider Business Mailing Address
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Address Line | 836 JONATHAN RD
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City | WEISER
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State | ID
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Zip | 83672-5120
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Country | US
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Telephone | 208-550-7845
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-6266
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License Number State | ID
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