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General NPI Number Information
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NPI Number | 1437384344
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Entity Type | Organization
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Legal Business Name | BROWNFIELDS INC
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 847-1 PARKCENTRE WAY
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City | NAMPA
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State | ID
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Zip | 83651-1792
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Country | US
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Telephone | 208-342-4659
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Fax | 208-342-8211
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Provider Business Mailing Address
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Address Line | 1912 E FRANKLIN RD
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City | MERIDIAN
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State | ID
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Zip | 83642-5906
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Country | US
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Telephone | 208-342-4659
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Fax | 208-342-8211
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. TOM PADILLA
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Credential | CPO
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Telephone | 208-342-4659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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