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General NPI Number Information
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NPI Number | 1992789564
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Entity Type | Individual
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Provider Name | JOHN T. ADER DO-RHEUMATOLOGY
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Gender | Male
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 784 S CLEARWATER LOOP STE B
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City | POST FALLS
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State | ID
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Zip | 83854-9599
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Country | US
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Telephone | 833-767-4386
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Fax | 833-874-0554
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Provider Business Mailing Address
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Address Line | 5178 N MORNINGGALE WAY
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City | BOISE
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State | ID
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Zip | 83713-1453
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Country | US
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Telephone | 833-767-4386
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Fax | 833-874-0554
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 3103
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | O-0634
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 34C.000617
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M9114
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | M9114
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License Number State | TX
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