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Who should our office contact regarding a change of telephone number, address, or tax identification number?

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Who should our office contact regarding a change of telephone number, address, or tax identification number?

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IPN requires written documentation of such changes to ensure accuracy of it’s Provider records. For your convenience, you can obtain a Provider Information/Change Form in the Provider Section of this website. The form can be printed and mailed or faxed to IPN at: Southwest Idaho Providers: Idaho Physicians Network 800 Park Boulevard, Suite 760 Boise, Idaho 83712 Fax: (208) 433-4602 North Idaho and Southeast Idaho Providers: Idaho Physicians Network 901 Pier View Dr.

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