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General NPI Number Information
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NPI Number | 1124965553
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Entity Type | Organization
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Legal Business Name | HPC MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 1000 N CURTIS RD STE 302
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City | BOISE
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State | ID
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Zip | 83706-1347
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Country | US
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Telephone | 918-284-9579
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Fax |
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Provider Business Mailing Address
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Address Line | 784 S CLEARWATER LOOP STE B
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City | POST FALLS
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State | ID
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Zip | 83854-9599
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. DEREK DANIEL HAYTON
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Credential | DO
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Telephone | 918-284-9579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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