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General NPI Number Information
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NPI Number | 1649692609
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Entity Type | Organization
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Legal Business Name | TANABELL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 410 W 1ST N
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City | REXBURG
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State | ID
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Zip | 83440
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Country | US
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Telephone | 208-359-7676
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Fax | 208-359-7677
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Provider Business Mailing Address
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Address Line | 4881 CLOVER DELL RD
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City | POCATELLO
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State | ID
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Zip | 83202-1805
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Country | US
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Telephone | 208-252-5902
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Fax | 775-307-4049
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | TROY V BELL
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Credential | MBA, NHA
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Telephone | 208-221-0481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 135140
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License Number State | ID
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