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General NPI Number Information
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NPI Number | 1619796661
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Entity Type | Organization
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Legal Business Name | TREASURE VALLEY RETURN TO WORK LLC
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 3080 E GENTRY WAY STE 180
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City | MERIDIAN
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State | ID
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Zip | 83642-3014
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Country | US
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Telephone | 208-609-6600
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Fax | 208-973-0180
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Provider Business Mailing Address
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Address Line | 3080 E GENTRY WAY STE 180
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City | MERIDIAN
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State | ID
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Zip | 83642-3014
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Country | US
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Telephone | 208-609-6600
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Fax | 208-973-0180
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Authorized Official
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Title or Position | PARTNER
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Name | AARON COX
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Credential |
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Telephone | 208-609-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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