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General NPI Number Information
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NPI Number | 1285043752
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Entity Type | Individual
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Provider Name | NICHOLE YOST CNP,FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 5622 SHERIDAN LAKE RD STE 105
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City | RAPID CITY
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State | SD
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Zip | 57702-8881
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Country | US
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Telephone | 605-787-2170
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Fax | 605-791-1849
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Provider Business Mailing Address
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Address Line | 5622 SHERIDAN LAKE RD STE 105
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City | RAPID CITY
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State | SD
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Zip | 57702-8881
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Country | US
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Telephone | 605-354-1734
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Fax | 605-791-1849
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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 | CP001507
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License Number State | SD
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