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General NPI Number Information
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NPI Number | 1336031723
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Entity Type | Organization
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Legal Business Name | VALLEY FAMILY HEALTH CARE, INC
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 207 E 12TH ST
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City | EMMETT
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State | ID
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Zip | 83617-3626
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Country | US
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Telephone | 208-364-1065
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Fax | 208-365-1068
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Provider Business Mailing Address
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Address Line | 1441 NE 10TH AVE
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City | PAYETTE
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State | ID
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Zip | 83661-5420
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Country | US
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Telephone | 208-642-9376
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Fax | 208-642-9598
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Authorized Official
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Title or Position | CEO
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Name | KENNETH ROBERT HART
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Credential |
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Telephone | 208-642-7364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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