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General NPI Number Information
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NPI Number | 1992913479
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Entity Type | Organization
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Legal Business Name | STEELE MEMORIAL MEDICAL CENTER
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 203 S. DAISY ST.
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City | SALMON
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State | ID
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Zip | 83467
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Country | US
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Telephone | 208-756-5600
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Fax | 208-756-4169
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Provider Business Mailing Address
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Address Line | 203 S. DAISY ST.
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City | SALMON
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State | ID
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Zip | 83467
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Country | US
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Telephone | 208-756-5600
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Fax | 208-756-4169
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Authorized Official
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Title or Position | COO
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Name | ABNER KING
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Credential |
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Telephone | 208-756-5720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 28
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License Number State | ID
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