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General NPI Number Information
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NPI Number | 1104977479
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Entity Type | Organization
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Legal Business Name | DEVELOPMENT ENTERPRISES, INC.
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1127 CALDWELL BLVD
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City | NAMPA
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State | ID
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Zip | 83651-1719
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Country | US
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Telephone | 208-465-4935
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Fax | 208-461-8638
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Provider Business Mailing Address
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Address Line | 1127 CALDWELL BLVD
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City | NAMPA
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State | ID
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Zip | 83651-1719
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Country | US
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Telephone | 208-465-4935
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Fax | 208-461-8638
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. KRISTOPHER D CAMPBELL
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Credential |
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Telephone | 509-669-8564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 54
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License Number State | ID
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