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General NPI Number Information
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NPI Number | 1235989930
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Entity Type | Organization
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Legal Business Name | NO8 HEALTH LLC
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 512 E ELM ST
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City | CALDWELL
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State | ID
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Zip | 83605-4871
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Country | US
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Telephone | 208-370-7004
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 330
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City | MIDDLETON
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State | ID
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Zip | 83644-0330
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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 | SOLE MBR
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Name | ROURKE YEAKLEY
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Credential | MD
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Telephone | 208-724-7420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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