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General NPI Number Information
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NPI Number | 1972368595
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Entity Type | Individual
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Provider Name | COLE DANIEL SZYMKIEWICZ AGANCP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/14/2024
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 3715 E OVERLAND RD STE 105
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City | MERIDIAN
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State | ID
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Zip | 83642-8300
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Country | US
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Telephone | 208-906-9128
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Fax |
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Provider Business Mailing Address
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Address Line | 3715 E OVERLAND RD STE 105
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City | MERIDIAN
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State | ID
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Zip | 83642-8300
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Country | US
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Telephone | 208-906-9128
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 75604
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 75604
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License Number State | ID
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