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General NPI Number Information
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NPI Number | 1699543983
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Entity Type | Organization
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Legal Business Name | JHOFER HEALTH, LLC
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Dates
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Enumeration Date | 12/15/2023
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 6126 W STATE ST STE 301
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City | BOISE
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State | ID
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Zip | 83703-2741
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Country | US
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Telephone | 208-901-7244
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Fax |
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Provider Business Mailing Address
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Address Line | 3870 N JULLION WAY
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City | BOISE
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State | ID
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Zip | 83704-4084
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Country | US
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Telephone | 662-571-7651
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER HOFER
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Credential | NP-C
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Telephone | 208-901-7244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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