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General NPI Number Information
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NPI Number | 1356883326
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Entity Type | Organization
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Legal Business Name | BOISE FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 10798 W OVERLAND RD
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City | BOISE
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State | ID
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Zip | 83709-1329
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Country | US
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Telephone | 208-377-3368
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Fax | 208-322-4691
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Provider Business Mailing Address
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Address Line | 10798 W OVERLAND RD
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City | BOISE
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State | ID
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Zip | 83709-1329
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Country | US
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Telephone | 208-377-3368
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Fax | 208-322-4691
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Authorized Official
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Title or Position | CEO
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Name | BRIAN BRUMPTON
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Credential |
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Telephone | 208-377-3368
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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 |
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License Number State | ID
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