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General NPI Number Information
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NPI Number | 1477086932
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Entity Type | Organization
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Legal Business Name | MEDICAL CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 272 E 36TH ST
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City | GARDEN CITY
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State | ID
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Zip | 83714
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Country | US
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Telephone | 208-514-0518
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Fax | 208-493-8759
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Provider Business Mailing Address
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Address Line | 9030 N HESS ST STE 474
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City | HAYDEN
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State | ID
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Zip | 83835-9827
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Country | US
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Telephone | 208-514-0518
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Fax | 208-493-8759
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Authorized Official
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Title or Position | OWNER
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Name | JOHN CASPER
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Credential | MD
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Telephone | 208-514-0518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | M4860
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | M4860
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License Number State | ID
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