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General NPI Number Information
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NPI Number | 1154372050
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Entity Type | Individual
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Provider Name | PATRICIA ANN SNIEZEK GNP ANP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 40520 COUNTY HWY 34 WHITE EARTH HEALTH CENTER
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City | OGEMA
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State | MN
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Zip | 56569
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Country | US
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Telephone | 218-983-4300
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Fax | 218-983-6217
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Provider Business Mailing Address
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Address Line | PO BOX 157 ST ANNES CHURCH
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City | NAYTAHWAUSH
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State | MN
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Zip | 56566
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R0793333
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R0793333
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | R0793333
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License Number State | MN
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