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General NPI Number Information
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NPI Number | 1508971987
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Entity Type | Organization
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Legal Business Name | MEDNOW, INC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1512 12TH AVE RD
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City | NAMPA
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State | ID
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Zip | 83686-6008
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Country | US
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Telephone | 208-463-5355
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Fax | 208-463-5357
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Provider Business Mailing Address
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Address Line | 1512 12TH AVE RD
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City | NAMPA
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State | ID
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Zip | 83686-6008
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Country | US
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Telephone | 208-463-5355
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Fax | 208-463-5357
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. BILL BECK
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Credential |
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Telephone | 208-895-1957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1134CP
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 1134CP
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1134CP
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License Number State | ID
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