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General NPI Number Information
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NPI Number | 1518267897
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Entity Type | Organization
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Legal Business Name | OATS INC
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 911 S HIGHWAY 30
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City | HEYBURN
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State | ID
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Zip | 83336-5001
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Country | US
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Telephone | 208-679-2273
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Fax | 208-679-3368
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Provider Business Mailing Address
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Address Line | 911 S HIGHWAY 30
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City | HEYBURN
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State | ID
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Zip | 83336-5001
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Country | US
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Telephone | 208-679-2273
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Fax | 208-679-3368
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Authorized Official
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Title or Position | PRESIDENT
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Name | SALLY HALL
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Credential |
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Telephone | 208-670-3116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 17053195340039
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License Number State | ID
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