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“Independent Duty Medical Technicians” (Mountian Home Afb, ID)

Location: Mountian Home Afb, ID
Taxonomy: Independent Duty Medical Technicians.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1538802830 — MISS KATHLEEN L LACASSE IDMT
Practice Location Address:
90 HOPE DRIVE BLDG 6000
MOUNTIAN HOME AFB ID
83648
Practice Phone: 208-828-7401

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