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General NPI Number Information
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NPI Number | 1295663748
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Entity Type | Organization
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Legal Business Name | FREESTONE FAMILY MEDICINE AND WELLNESS PLLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 1477 CENTER PARK DRIVE
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City | AMMON
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State | ID
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Zip | 83406
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Country | US
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Telephone | 208-768-6959
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Fax |
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Provider Business Mailing Address
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Address Line | 2184 CHANNING WAY # 234
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City | IDAHO FALLS
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State | ID
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Zip | 83404-8034
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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 | PHYSICIAN/OWNER
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Name | NATHAN TOENJES
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Credential | DO
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Telephone | 208-313-3792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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