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General NPI Number Information
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NPI Number | 1154280675
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Entity Type | Individual
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Provider Name | GARETT GAYLE RUMSEY
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Gender | Male
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 72 S 1ST E STE 103
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City | REXBURG
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State | ID
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Zip | 83440-1902
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Country | US
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Telephone | 208-356-4900
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Fax | 208-372-1023
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Provider Business Mailing Address
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Address Line | PO BOX 18
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City | SAINT ANTHONY
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State | ID
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Zip | 83445-0018
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Country | US
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Telephone | 208-356-4900
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Fax | 208-624-4112
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1671798
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License Number State | ID
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