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General NPI Number Information
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NPI Number | 1588766992
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Entity Type | Organization
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Legal Business Name | MEDNOW, INC
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 999 N CURTIS RD STE 102
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City | BOISE
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State | ID
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Zip | 83706
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Country | US
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Telephone | 208-367-4847
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Fax | 208-367-3915
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Provider Business Mailing Address
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Address Line | 999 N CURTIS RD SUITE 102
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City | BOISE
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State | ID
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Zip | 83706-1336
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Country | US
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Telephone | 208-367-4847
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Fax | 208-367-3915
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | KENDRA MCCONNELL-KUZMIC
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Credential |
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Telephone | 208-205-0190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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