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General NPI Number Information
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NPI Number | 1912023177
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Entity Type | Individual
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Provider Name | COLLEEN LOUGHRAN NP
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 3308 N MILWAUKEE ST STE 120
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City | BOISE
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State | ID
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Zip | 83704-1007
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Country | US
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Telephone | 208-991-1636
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Fax | 208-991-1985
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Provider Business Mailing Address
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Address Line | 10435 W SHADYBROOK DR
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City | BOISE
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State | ID
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Zip | 83704-3945
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Country | US
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Telephone | 208-991-1636
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Fax | 208-991-1985
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209029135
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12463
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 74406
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | TP004694B
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP12463
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License Number State | CA
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