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General NPI Number Information
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NPI Number | 1780366195
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Entity Type | Organization
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Legal Business Name | SCIURIDAE BOYZ, LLC
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 738 N COLLEGE RD STE B
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City | TWIN FALLS
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State | ID
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Zip | 83301-3386
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Country | US
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Telephone | 208-735-3600
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Fax | 208-735-3601
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Provider Business Mailing Address
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Address Line | 738 N COLLEGE RD STE B
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City | TWIN FALLS
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State | ID
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Zip | 83301-3386
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Country | US
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Telephone | 208-735-3600
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Fax | 208-735-3601
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | AMBER LOUISE RAMSEY
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Credential |
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Telephone | 208-212-7196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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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 | 363L00000X
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Taxonomy Name | 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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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