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General NPI Number Information
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NPI Number | 1528705647
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Entity Type | Individual
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Provider Name | EVELYN BORROMEO CONSIDINE NP
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Gender | Female
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | KOOTENAI CLINIC NEPHROLOGY 700 W. IRONWOOD DR. STE. 375
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City | COEUR D'ALENE
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State | ID
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Zip | 83814
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Country | US
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Telephone | 208-625-6100
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Fax | 208-625-6101
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Provider Business Mailing Address
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Address Line | 25043 N LANTERN HILL RD
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City | RATHDRUM
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State | ID
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Zip | 83858-8752
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Country | US
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Telephone | 229-561-2401
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Fax | 208-625-6101
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 68494
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License Number State | ID
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