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General NPI Number Information
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NPI Number | 1326785254
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Entity Type | Individual
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Provider Name | ALMA IYON SOUD MD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 730 N COLLEGE RD STE A
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City | TWIN FALLS
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State | ID
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Zip | 83301-3382
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Country | US
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Telephone | 208-814-8000
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Fax | 208-933-4919
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Provider Business Mailing Address
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Address Line | 190 E BANNOCK ST
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City | BOISE
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State | ID
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Zip | 83712-6241
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Country | US
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Telephone |
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Fax | 208-375-2217
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MRM-2166
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2771530
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License Number State | ID
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