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General NPI Number Information
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NPI Number | 1326565516
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Entity Type | Organization
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Legal Business Name | PRACTICE PROS INC
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 08/28/2017
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Provider Practice Location Address
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Address Line | 2674 N ARROWWOOD WAY
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City | MERIDIAN
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State | ID
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Zip | 83646-4406
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Country | US
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Telephone | 208-284-0473
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Fax |
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Provider Business Mailing Address
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Address Line | 2674 N ARROWWOOD WAY
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City | MERIDIAN
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State | ID
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Zip | 83646-4406
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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 | BILLING/CREDENTIALING MANAGER
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Name | BRIAN RONNING
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Credential |
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Telephone | 208-230-5849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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