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General NPI Number Information
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NPI Number | 1376429928
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Entity Type | Organization
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Legal Business Name | RESTORATION HEALTH LLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1000 S 16TH ST STE C
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City | PAYETTE
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State | ID
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Zip | 83661-3403
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Country | US
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Telephone | 208-740-2973
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Fax | 208-702-0018
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Provider Business Mailing Address
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Address Line | 101 HIGHWAY 95
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City | WEISER
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State | ID
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Zip | 83672-5709
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Country | US
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Telephone | 360-930-4174
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEANETTE REINERS
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Credential | DNP FNP-C
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Telephone | 350-930-4174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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