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General NPI Number Information
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NPI Number | 1295729283
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Entity Type | Organization
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Legal Business Name | MIDNIGHT OIL LTD.
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 798 LAWRENCE AVE
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City | TWIN FALLS
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State | ID
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Zip | 83301-3635
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Country | US
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Telephone | 208-324-6776
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Fax | 208-324-6636
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Provider Business Mailing Address
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Address Line | 498 FALLS AVE W
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City | TWIN FALLS
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State | ID
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Zip | 83301-3689
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Country | US
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Telephone | 208-324-6776
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Fax | 208-324-6636
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | ROB BENNETT
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Credential |
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Telephone | 208-324-6776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 5MVDEV037
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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