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General NPI Number Information
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NPI Number | 1306097522
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Entity Type | Individual
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Provider Name | JEFFREY BOYD ARTHURS RPH
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Gender | Male
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 583 COMMERCE DR
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City | SMELTERVILLE
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State | ID
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Zip | 83868
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Country | US
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Telephone | 208-783-2739
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Fax | 208-783-2925
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Provider Business Mailing Address
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Address Line | 145 W LARCH PO BOX 681
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City | OSBURN
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State | ID
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Zip | 83849
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Country | US
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Telephone | 208-659-7595
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Fax | 208-783-2825
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P4834
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License Number State | ID
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