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General NPI Number Information
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NPI Number | 1891645057
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Entity Type | Organization
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Legal Business Name | ALPINE SURGICAL ARTS MOUNTAIN HOME LLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 925 W AIRBASE RD
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City | MOUNTAIN HOME
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State | ID
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Zip | 83647-3319
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Country | US
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Telephone | 208-344-9115
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Fax | 208-344-9113
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Provider Business Mailing Address
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Address Line | 403 S 11TH ST STE 300
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City | BOISE
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State | ID
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Zip | 83702-6968
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Country | US
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Telephone | 208-344-9115
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Fax | 208-344-9113
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Authorized Official
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Title or Position | OWNER
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Name | ARMAN HAGHIGHI
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Credential | DDS
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Telephone | 208-344-9115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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