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General NPI Number Information
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NPI Number | 1174462493
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Entity Type | Organization
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Legal Business Name | TIMBERLINE MEDICAL CONSULTANTS LLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 9977 W ARNOLD RD
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City | BOISE
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State | ID
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Zip | 83714-3814
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Country | US
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Telephone | 208-859-0817
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Fax | 208-231-8697
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Provider Business Mailing Address
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Address Line | 9977 W ARNOLD RD
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City | BOISE
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State | ID
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Zip | 83714-3814
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Country | US
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Telephone | 208-859-0817
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Fax | 208-231-8697
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CRAIG E BATES
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Credential |
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Telephone | 208-308-2448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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