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General NPI Number Information
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NPI Number | 1023107471
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Entity Type | Individual
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Provider Name | PATRICIA RICHTER FNP, CNM
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 2430 20TH SWST 8
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City | JAMESTOWN
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State | ND
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Zip | 58401-6201
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Country | US
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Telephone | 701-952-4787
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Fax | 701-952-4786
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Provider Business Mailing Address
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Address Line | 2430 20TH SWST 8
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City | JAMESTOWN
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State | ND
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Zip | 58401-6201
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Country | US
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Telephone | 701-952-4787
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Fax | 701-952-4786
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R159732-1
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | R159732-1
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License Number State | MN
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