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General NPI Number Information
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NPI Number | 1841212933
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Entity Type | Organization
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Legal Business Name | PUBLIC HEALTH DISTRICT 1
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 8500 N ATLAS RD
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City | HAYDEN
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State | ID
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Zip | 83835-8332
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Country | US
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Telephone | 208-415-5100
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Fax | 208-415-5161
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Provider Business Mailing Address
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Address Line | 8500 N ATLAS ROAD
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City | HAYDEN
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State | ID
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Zip | 83835-7677
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Country | US
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Telephone | 208-786-7474
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Fax | 208-786-7109
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DONALD DUFFY
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Credential |
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Telephone | 208-415-5163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | ID
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