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General NPI Number Information
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NPI Number | 1568938835
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Entity Type | Individual
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Provider Name | WILLIAM TYLER STEERS FNP
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Gender | Male
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 4605 ENTERPRISE WAY STE 105
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City | CALDWELL
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State | ID
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Zip | 83605-6889
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Country | US
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Telephone | 208-230-7486
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Fax | 866-247-0438
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Provider Business Mailing Address
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Address Line | 5200 SE 1ST AVE
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City | NEW PLYMOUTH
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State | ID
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Zip | 83655-5558
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Country | US
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Telephone | 208-230-7486
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Fax | 866-247-0438
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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 | 59901
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License Number State | ID
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