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General NPI Number Information
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NPI Number | 1942124995
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Entity Type | Organization
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Legal Business Name | NORTH IDAHO DAY SURGERY LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 315 W DALTON AVE STE B
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City | COEUR D ALENE
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State | ID
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Zip | 83815-8600
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Country | US
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Telephone | 208-209-2066
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Fax | 208-209-2076
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Provider Business Mailing Address
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Address Line | 1593 E POLSTON AVE
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City | POST FALLS
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State | ID
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Zip | 83854-5326
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Country | US
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Telephone | 208-262-2498
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Fax | 208-262-7461
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Authorized Official
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Title or Position | PAYOR ENROLLMENT SPECIALIST
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Name | JASON BELL
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Credential |
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Telephone | 208-618-2559
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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 |
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License Number State |
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