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General NPI Number Information
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NPI Number | 1972625952
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Entity Type | Organization
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Legal Business Name | DAWN ENTERPRISES INC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 280 N CEDAR ST
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City | BLACKFOOT
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State | ID
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Zip | 83221-1600
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Country | US
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Telephone | 208-785-5890
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Fax | 208-785-3095
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Provider Business Mailing Address
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Address Line | PO BOX 388 280 N. CEDAR ST
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City | BLACKFOOT
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State | ID
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Zip | 83221-0388
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Country | US
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Telephone | 208-785-5890
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Fax | 208-785-3095
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DONNA BUTLER
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Credential |
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Telephone | 208-785-5890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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