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General NPI Number Information
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NPI Number | 1447311139
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Entity Type | Organization
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Legal Business Name | BEAR LAKE COUNTY
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 385 CEMETARY ROAD
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City | MONTPELIER
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State | ID
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Zip | 83254
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Country | US
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Telephone | 307-887-2042
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Fax | 208-847-1189
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Provider Business Mailing Address
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Address Line | PO BOX 248
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City | MONTPELIER
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State | ID
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Zip | 83254
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Country | US
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Telephone | 307-887-2042
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Fax | 208-847-1189
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Authorized Official
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Title or Position | COUNTY CLERK
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Name | MRS. AMY BISHOP
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Credential |
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Telephone | 208-945-2212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 7602
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License Number State | ID
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