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General NPI Number Information
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NPI Number | 1255500948
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Entity Type | Organization
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Legal Business Name | RICHFIELD SCHOOL DIST 316
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 555 N. TIGER DRIVE
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City | RICHFIELD
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State | ID
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Zip | 83349
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Country | US
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Telephone | 208-487-2241
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Fax | 208-487-2240
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Provider Business Mailing Address
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Address Line | 555 N. TIGER DR.
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City | RICHFIELD
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State | ID
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Zip | 83349
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Country | US
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Telephone | 208-487-2241
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Fax | 208-487-2240
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Authorized Official
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Title or Position | BUISNESS MANAGER
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Name | MRS. LORI A HOLLAND
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Credential |
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Telephone | 208-487-2241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | ID
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