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General NPI Number Information
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NPI Number | 1184866105
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Entity Type | Organization
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Legal Business Name | SARAH CARE OF BOISE
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 1655 VINNELL ST
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City | BOISE
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State | ID
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Zip | 83709-5138
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Country | US
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Telephone | 208-529-8828
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Fax | 888-836-8828
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Provider Business Mailing Address
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Address Line | 7957 N RIVERFRONT DR
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City | IDAHO FALLS
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State | ID
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Zip | 83401-4981
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Country | US
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Telephone | 208-529-8828
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Fax | 888-836-8828
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LORNA HOOPES
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Credential |
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Telephone | 208-313-2801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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