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General NPI Number Information
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NPI Number | 1356876726
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Entity Type | Organization
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Legal Business Name | NORCO, INC
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 204 W IRONWOOD DR STE F
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City | COEUR D ALENE
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State | ID
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Zip | 83814-1411
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Country | US
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Telephone | 208-714-0100
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Fax | 208-664-5063
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Provider Business Mailing Address
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Address Line | PO BOX 15299
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City | BOISE
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State | ID
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Zip | 83715-5299
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Country | US
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Telephone | 208-336-1643
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT, MEDICAL
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Name | BRENT SEWARD
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Credential |
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Telephone | 208-336-1643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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