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General NPI Number Information
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NPI Number | 1417957176
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Entity Type | Individual
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Provider Name | JANET SUSAN GARLAND MSN, FNP, CANP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 3302 VALENCIA DR SUITE 201
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City | IDAHO FALLS
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State | ID
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Zip | 83404
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Country | US
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Telephone | 208-524-9400
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Fax | 208-524-9401
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Provider Business Mailing Address
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Address Line | 2001 S WOODRUFF AVE SUITE 3
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City | IDAHO FALLS
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State | ID
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Zip | 83404-6371
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Country | US
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Telephone | 208-523-3050
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Fax | 208-523-4985
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP 355A
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License Number State | ID
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