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General NPI Number Information
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NPI Number | 1316003379
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Entity Type | Organization
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Legal Business Name | BOISE COUNTY
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | BOISE COUNTY OFFICE 420 MAIN STREET
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City | IDAHO CITY
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State | ID
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Zip | 83631
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Country | US
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Telephone | 208-392-4431
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Fax | 208-392-4473
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Provider Business Mailing Address
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Address Line | PO BOX 1300
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City | IDAHO CITY
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State | ID
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Zip | 83631
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Country | US
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Telephone | 208-392-6066
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Fax | 208-392-6066
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Authorized Official
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Title or Position | DEPUTY CLERK EBCAD ACCOUNTS RECEIVA
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Name | JILL CHERI BROWNING
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Credential | BOISE COUNTY DEPUTY
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Telephone | 208-392-6066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 5430
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License Number State | ID
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