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General NPI Number Information
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NPI Number | 1821861030
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Entity Type | Individual
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Provider Name | JOSHUA JOSEPH MEYER FNP
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Gender | Male
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 9850 W ST LUKES DR STE 207
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City | NAMPA
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State | ID
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Zip | 83687-7912
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Country | US
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Telephone | 208-505-2711
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Fax | 208-505-2708
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Provider Business Mailing Address
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Address Line | 1808 S HELEN ST
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City | BOISE
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State | ID
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Zip | 83705-3512
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Country | US
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Telephone | 208-830-5679
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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 | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 53899
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 163WX0106X
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Taxonomy Name | Occupational Health Registered Nurse
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License Number | 53899
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License Number State | ID
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