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General NPI Number Information
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NPI Number | 1144022153
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Entity Type | Organization
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Legal Business Name | C&A HEALTHCARE PLLC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 219 S WOODDALE AVE
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City | EAGLE
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State | ID
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Zip | 83616
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Country | US
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Telephone | 208-994-5575
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Fax |
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Provider Business Mailing Address
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Address Line | 219 S WOODDALE AVE
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City | EAGLE
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State | ID
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Zip | 83616
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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 | OWNER
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Name | ANA LABORDE
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Credential | AGNP-BC
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Telephone | 208-994-5575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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