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General NPI Number Information
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NPI Number | 1356425946
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Entity Type | Individual
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Provider Name | NATHAN B LEVANGER DO
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 120 EAST HOWARD AVENUE TETON VALLEY HEALTH CARE
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City | DRIGGS
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State | ID
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Zip | 83422-5112
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Country | US
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Telephone | 208-354-6302
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Fax | 208-354-3158
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Provider Business Mailing Address
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Address Line | 120 EAST HOWARD AVENUE TETON VALLEY HEALTH CARE
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City | DRIGGS
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State | ID
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Zip | 83422-5112
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Country | US
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Telephone | 208-354-6302
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Fax | 208-354-3158
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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 | DO22827
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License Number State | OR
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