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General NPI Number Information
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NPI Number | 1083161517
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Entity Type | Individual
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Provider Name | MICHELLE MARY DVORAK
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 811 MOUNTAIN VIEW DR APT 107
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City | GILLETTE
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State | WY
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Zip | 82716-2352
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Country | US
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Telephone | 307-660-1303
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Fax | 307-257-2695
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Provider Business Mailing Address
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Address Line | 811 MOUTAIN VIEW DRIVE APT 107
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City | GILLETTE
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State | WY
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Zip | 82716-2340
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Country | US
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Telephone | 307-660-1303
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Fax | 307-257-2695
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 33371
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License Number State | WY
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