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General NPI Number Information
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NPI Number | 1538967716
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Entity Type | Organization
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Legal Business Name | ONLY HORMONES, PLLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1883 E LAKE CREEK DR
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City | MERIDIAN
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State | ID
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Zip | 83642-6783
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Country | US
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Telephone | 208-871-2120
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Fax |
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Provider Business Mailing Address
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Address Line | 851 W FRONT ST APT 608
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City | BOISE
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State | ID
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Zip | 83702-5852
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Country | US
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Telephone | 208-871-2120
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | TAMMY LEE HADFIELD
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Credential | WHNP-BC
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Telephone | 208-871-2120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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