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General NPI Number Information
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NPI Number | 1790273506
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Entity Type | Individual
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Provider Name | BRIDGET MARGARET CHOLEWA DO
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Gender | Female
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 4300 E FLAMINGO AVE
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City | NAMPA
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State | ID
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Zip | 83687-3138
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Country | US
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Telephone | 208-463-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190930
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City | BOISE
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State | ID
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Zip | 83719-0930
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Country | US
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Telephone | 208-367-5170
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Fax | 208-367-5180
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | O-1657
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5151010915
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License Number State | MI
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