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General NPI Number Information
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NPI Number | 1134202559
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Entity Type | Individual
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Provider Name | CHRISTINE LORRAINE KNUDSVIG ACNP-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2006
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 701 1ST STREET SW
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City | CROSBY
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State | ND
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Zip | 58730
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Country | US
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Telephone | 701-965-6349
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Fax | 701-965-6407
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Provider Business Mailing Address
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Address Line | 701 1ST STREET SW
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City | CROSBY
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State | ND
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Zip | 58730
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Country | US
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Telephone | 701-965-6349
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Fax |
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 28157510A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 71002692A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R42647
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License Number State | ND
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