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General NPI Number Information
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NPI Number | 1558666172
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Entity Type | Individual
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Provider Name | GREGORY SCOTT HOWARD NP-C
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Gender | Male
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 04/18/2011
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Provider Practice Location Address
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Address Line | 9548 W CHADWICK DR
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City | BOISE
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State | ID
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Zip | 83704-2219
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Country | US
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Telephone | 208-631-0563
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Fax | 208-350-6806
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Provider Business Mailing Address
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Address Line | 9548 W CHADWICK DR
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City | BOISE
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State | ID
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Zip | 83704-2219
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Country | US
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Telephone | 208-631-0563
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Fax | 208-350-6806
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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 | NP-1051A
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License Number State | ID
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