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General NPI Number Information
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NPI Number | 1366251951
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Entity Type | Organization
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Legal Business Name | HEALTH WEST, INC.
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1000 N 8TH AVE
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City | POCATELLO
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State | ID
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Zip | 83201-5757
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Country | US
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Telephone | 208-232-7862
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Fax |
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Provider Business Mailing Address
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Address Line | 500 S 11TH AVE STE 400
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City | POCATELLO
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State | ID
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Zip | 83201-4880
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Country | US
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Telephone | 208-232-7862
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Fax |
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Authorized Official
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Title or Position | MEDICAL STAFF COORDINATOR
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Name | AMELIA MURPHY
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Credential |
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Telephone | 208-232-7862
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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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