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General NPI Number Information
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NPI Number | 1245339951
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Entity Type | Individual
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Provider Name | JEANNE MONSKE C.P.N.P.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 1401 SUDDERTH DR
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City | RUIDOSO
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State | NM
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Zip | 88345-6104
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Country | US
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Telephone | 575-257-7712
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Fax | 575-257-4513
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Provider Business Mailing Address
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Address Line | 30 ADOBE RANCH TRL
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City | ALAMOGORDO
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State | NM
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Zip | 88310-4193
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Country | US
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Telephone | 505-437-2665
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R24569
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License Number State | NM
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