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General NPI Number Information
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NPI Number | 1245565217
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Entity Type | Individual
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Provider Name | LETTIE EILEEN SEAMOUNT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 2546 E 2ND ST STE 600
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City | CASPER
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State | WY
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Zip | 82609-2063
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Country | US
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Telephone | 307-472-0885
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3482
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City | POST FALLS
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State | ID
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Zip | 83877-3482
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Country | US
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Telephone | 208-416-4888
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12373.1018
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License Number State | WY
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