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General NPI Number Information
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NPI Number | 1902387285
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE HEALTH SOLUTIONS PLLC
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 11/09/2018
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Provider Practice Location Address
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Address Line | 1215 MICHIGAN ST STE B
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City | SANDPOINT
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State | ID
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Zip | 83864-5014
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Country | US
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Telephone | 208-920-0285
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Fax |
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Provider Business Mailing Address
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Address Line | 902 SHEPHERDS LN
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City | SANDPOINT
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State | ID
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Zip | 83864-9707
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Country | US
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Telephone | 208-920-0285
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Fax |
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Authorized Official
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Title or Position | MEMBER-MANAGER
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Name | MS. JILL SUHY STILLER
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Credential | APRN
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Telephone | 208-920-0285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 54178
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License Number State | ID
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