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General NPI Number Information
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NPI Number | 1336839562
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Entity Type | Organization
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Legal Business Name | SOUTHERN IDAHO HEALTH PARTNERS DBA SALTZER CLINICS
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 875 S VANGUARD WAY STE 200
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City | MERIDIAN
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State | ID
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Zip | 83642-8542
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Country | US
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Telephone | 208-463-3244
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Fax |
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Provider Business Mailing Address
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Address Line | 215 E HAWAII AVE
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City | NAMPA
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State | ID
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Zip | 83686-6011
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Country | US
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Telephone | 208-463-3244
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | COLLENE COSSEY
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Credential |
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Telephone | 208-463-3244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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