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General NPI Number Information
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NPI Number | 1689621294
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Entity Type | Organization
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Legal Business Name | APN SOLUTIONS LLC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2450 E 25TH ST SUITE C
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City | IDAHO FALLS
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State | ID
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Zip | 83404-7577
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Country | US
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Telephone | 208-523-3436
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Fax | 208-523-2303
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Provider Business Mailing Address
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Address Line | 2450 E 25TH ST SUITE C
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City | IDAHO FALLS
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State | ID
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Zip | 83404-7577
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Country | US
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Telephone | 208-523-3436
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Fax | 208-523-2303
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Authorized Official
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Title or Position | PARTNER
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Name | MR. BRIAN JOSEPH DECKER
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Credential | FNPC
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Telephone | 208-523-3436
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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 | NP616A
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License Number State | ID
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