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General NPI Number Information
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NPI Number | 1114571726
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Entity Type | Individual
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Provider Name | SAMUEL WADE CROFT DC
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Gender | Male
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Dates
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Enumeration Date | 07/31/2019
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 661 S WOODRUFF AVE
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City | IDAHO FALLS
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State | ID
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Zip | 83401-5596
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Country | US
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Telephone | 208-569-9450
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Fax |
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Provider Business Mailing Address
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Address Line | 238 N 3800 E
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City | RIGBY
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State | ID
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Zip | 83442-5457
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Country | US
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Telephone | 208-821-2825
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIA-2241
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License Number State | ID
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