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General NPI Number Information
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NPI Number | 1861589236
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Entity Type | Organization
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Legal Business Name | SANDPOINT ORTHOPEDICS, PC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 12/28/2010
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Provider Practice Location Address
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Address Line | 606 N 3RD AVE STE 201
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City | SANDPOINT
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State | ID
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Zip | 83864-1689
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Country | US
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Telephone | 208-263-8597
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Fax | 208-265-0667
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Provider Business Mailing Address
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Address Line | 606 N 3RD AVE STE 201
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City | SANDPOINT
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State | ID
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Zip | 83864-1689
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Country | US
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Telephone | 208-263-8597
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Fax | 208-265-0667
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DARCY SUE TAYLOR
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Credential |
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Telephone | 208-263-8597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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