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General NPI Number Information
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NPI Number | 1124980479
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Entity Type | Organization
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Legal Business Name | NORCO INC.
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1108 N MILDRED RD
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City | CORTEZ
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State | CO
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Zip | 81321-2418
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Country | US
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Telephone | 970-565-4200
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Fax | 970-565-2286
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Provider Business Mailing Address
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Address Line | 1125 W AMITY RD
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City | BOISE
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State | ID
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Zip | 83705-5412
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Country | US
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Telephone | 208-336-1643
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Fax | 208-385-7320
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | AMANDA GOTTS
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Credential |
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Telephone | 208-336-1643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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