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General NPI Number Information
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NPI Number | 1134146129
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Entity Type | Individual
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Provider Name | WARREN E ALBRECHT DO
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Gender | Male
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 2985 CORTEZ AVE STE 200
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City | IDAHO FALLS
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State | ID
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Zip | 83404-7554
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Country | US
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Telephone | 208-528-1000
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Fax | 208-528-1900
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Provider Business Mailing Address
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Address Line | 3270 E 17TH ST STE 217
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City | AMMON
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State | ID
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Zip | 83406-6758
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Country | US
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Telephone | 208-528-1000
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Fax | 208-528-1900
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 9726
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License Number State | ND
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