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General NPI Number Information
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NPI Number | 1447376355
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD OF IDAHO
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3668 N HARBOR LANE
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City | BOISE
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State | ID
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Zip | 83703
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Country | US
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Telephone | 208-376-9300
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Fax | 208-376-9444
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Provider Business Mailing Address
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Address Line | 3668 NORTH HARBOR LANE
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City | BOISE
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State | ID
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Zip | 83703
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Country | US
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Telephone | 208-376-9300
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Fax | 208-376-9444
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. PENNY E HADLEY
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Credential | CPC
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Telephone | 208-376-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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