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General NPI Number Information
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NPI Number | 1811916984
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Entity Type | Organization
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Legal Business Name | CITY OF HORSESHOE BEND
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 112 ADAMS STREET
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City | HORSESHOE BEND
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State | ID
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Zip | 83629-0246
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Country | US
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Telephone | 208-793-2219
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Fax | 208-793-2403
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Provider Business Mailing Address
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Address Line | PO BOX 246
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City | HORSESHOE BEND
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State | ID
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Zip | 83629-0246
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Country | US
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Telephone | 208-793-2219
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Fax | 208-793-2403
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Authorized Official
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Title or Position | TREASURER
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Name | GINA ELMER
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Credential |
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Telephone | 208-793-2219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 5402
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License Number State | ID
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