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General NPI Number Information
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NPI Number | 1871922823
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Entity Type | Organization
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Legal Business Name | IDEAL NURSING SOLUTIONS LLC
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Dates
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Enumeration Date | 11/09/2013
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Last Update Date | 11/09/2013
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Provider Practice Location Address
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Address Line | 15702 RIVERSIDE RD
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City | CALDWELL
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State | ID
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Zip | 83607-9628
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Country | US
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Telephone | 208-562-7106
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Fax |
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Provider Business Mailing Address
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Address Line | 15702 RIVERSIDE RD
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City | CALDWELL
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State | ID
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Zip | 83607-9628
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Country | US
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Telephone | 208-562-7106
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOE WILLIAM NOURSE
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Credential | RN
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Telephone | 208-562-7106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | N43731
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | N43783
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License Number State | ID
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