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General NPI Number Information
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NPI Number | 1952357584
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Entity Type | Organization
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Legal Business Name | POST FALLS FAMILY MEDICINE P.A.
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 1220 E POLSTON AVE
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City | POST FALLS
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State | ID
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Zip | 83854-6056
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Country | US
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Telephone | 208-773-1577
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Fax | 208-773-8585
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Provider Business Mailing Address
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Address Line | 1220 E POLSTON AVE
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City | POST FALLS
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State | ID
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Zip | 83854-6056
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Country | US
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Telephone | 208-773-1577
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Fax | 208-773-8585
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | MORGAN D FORD
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Credential | MD
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Telephone | 208-773-1577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05-0214
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License Number State | ID
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