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General NPI Number Information
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NPI Number | 1225387350
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Entity Type | Organization
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Legal Business Name | STRONG FOUNDATIONS PLLC
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 10840 W WASDALE DR
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City | BOISE
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State | ID
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Zip | 83709-7170
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Country | US
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Telephone | 208-371-7046
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Fax |
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Provider Business Mailing Address
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Address Line | 10840 W WASDALE DR
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City | BOISE
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State | ID
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Zip | 83709-7170
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Country | US
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Telephone | 208-371-7046
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Fax |
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | CHERYL SUHR
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Credential | NP
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Telephone | 208-371-7046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | NP-1150A
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License Number State | ID
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