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General NPI Number Information
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NPI Number | 1831341288
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Entity Type | Individual
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Provider Name | JENNIFER GAMES PT, L. AC.
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Gender | Female
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 6003 OVERLAND RD SUITE 203
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City | BOISE
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State | ID
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Zip | 83709-3073
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Country | US
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Telephone | 208-377-1455
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Fax |
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Provider Business Mailing Address
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Address Line | 6003 OVERLAND RD SUITE 203
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City | BOISE
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State | ID
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Zip | 83709-3073
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Country | US
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Telephone | 208-377-1455
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU-220
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-2224
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License Number State | ID
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