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General NPI Number Information
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NPI Number | 1780266288
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Entity Type | Organization
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Legal Business Name | PRECISION MEDICAL CARE LLC
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Dates
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Enumeration Date | 04/23/2021
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 2965 E TARPON DR
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City | MERIDIAN
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State | ID
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Zip | 83642-9009
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Country | US
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Telephone | 208-918-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 2965 E TARPON DR
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City | MERIDIAN
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State | ID
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Zip | 83642-9009
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Country | US
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Telephone | 208-918-2525
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Fax |
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Authorized Official
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Title or Position | CHIEF OF STAFF
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Name | CATHERYNE CIANCI
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Credential |
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Telephone | 208-617-6455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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