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General NPI Number Information
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NPI Number | 1588307458
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Entity Type | Organization
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Legal Business Name | BEST BATH SYSTEMS INC
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 723 GARBER ST
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City | CALDWELL
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State | ID
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Zip | 83605-6729
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Country | US
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Telephone | 208-342-6823
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Fax |
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Provider Business Mailing Address
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Address Line | 723 GARBER ST
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City | CALDWELL
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State | ID
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Zip | 83605-6729
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Country | US
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Telephone | 208-342-6823
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Fax |
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Authorized Official
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Title or Position | ASSISTANT CONTROLLER
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Name | MICHAEL A STRECK
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Credential |
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Telephone | 208-433-6645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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