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General NPI Number Information
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NPI Number | 1801716899
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Entity Type | Individual
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Provider Name | ZOE ANNA HARDY
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Gender | Female
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 1000 E PARK BLVD
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City | BOISE
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State | ID
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Zip | 83712-7791
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Country | US
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Telephone | 208-989-8192
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Fax |
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Provider Business Mailing Address
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Address Line | 3648 N CENTREPOINT WAY UNIT 2D
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City | MERIDIAN
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State | ID
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Zip | 83646-7254
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Country | US
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Telephone | 208-989-8192
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Fax |
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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 | 246QL0900X
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Taxonomy Name | Laboratory Management Specialist/Technologist
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License Number |
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License Number State | ID
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