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General NPI Number Information
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NPI Number | 1952645426
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Entity Type | Individual
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Provider Name | LYNN ROSELLE RICE LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/21/2012
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 118 9TH AVE N
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City | TWIN FALLS
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State | ID
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Zip | 83301-6352
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Country | US
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Telephone | 208-731-5260
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Fax | 208-644-3213
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Provider Business Mailing Address
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Address Line | 118 9TH AVE N
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City | TWIN FALLS
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State | ID
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Zip | 83301-6352
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Country | US
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Telephone | 208-731-5260
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Fax | 208-644-3213
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW-34284
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-36819
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA-67
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW-36819
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License Number State | ID
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