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General NPI Number Information
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NPI Number | 1942064522
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Entity Type | Organization
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Legal Business Name | RIDGEVIEW FAMILY HEALTH INC
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 2840 S MERIDIAN RD
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City | MERIDIAN
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State | ID
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Zip | 83642-7960
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Country | US
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Telephone | 208-593-6393
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Fax | 208-593-6402
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Provider Business Mailing Address
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Address Line | 2840 S MERIDIAN RD
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City | MERIDIAN
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State | ID
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Zip | 83642-7960
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Country | US
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Telephone | 208-960-0680
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Fax |
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Authorized Official
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Title or Position | OWNER / DO
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Name | ERIK RICHARDSON
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Credential | DO
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Telephone | 208-593-6393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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