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General NPI Number Information
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NPI Number | 1033927496
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Entity Type | Organization
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Legal Business Name | WELLSPRINGS NATURAL HEALTHCARE
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 9629 BIA ROAD 21
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City | BELCOURT
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State | ND
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Zip | 58316-3841
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Country | US
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Telephone | 701-561-8201
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Fax |
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Provider Business Mailing Address
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Address Line | 170 ISLAND AVE
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City | SHELDON
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State | ND
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Zip | 58068-4004
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Country | US
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Telephone | 701-550-9287
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Fax |
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Authorized Official
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Title or Position | CEO, OWNER
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Name | DR. CHERYLL SIMMONS
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Credential | -BC, MSN, MPH
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Telephone | 701-550-9287
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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 |
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License Number State |
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