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General NPI Number Information
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NPI Number | 1073805099
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Entity Type | Organization
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Legal Business Name | ASSURELINK, LLC
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 841 OXFORD DR
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City | IDAHO FALLS
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State | ID
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Zip | 83401-4204
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Country | US
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Telephone | 208-523-2704
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Fax | 208-522-2603
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Provider Business Mailing Address
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Address Line | 841 OXFORD DR
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City | IDAHO FALLS
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State | ID
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Zip | 83401-4204
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Country | US
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Telephone | 208-523-2704
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Fax | 208-522-2603
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Authorized Official
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Title or Position | PARTNER
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Name | STEVE HANSEN
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Credential |
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Telephone | 208-523-2704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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