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NPI 1386687267

NPI 1386687267 : DAWN PETERS N.P. : KALISPELL, MT

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General NPI Number Information
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    NPI Number           |    1386687267
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    Entity Type          |    Individual 
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    Provider Name        |    DAWN PETERS N.P.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/14/2006
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    Last Update Date     |    06/17/2025
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Provider Practice Location Address
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    Address Line         |    160 HERITAGE WAY STE 201 
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    City                 |    KALISPELL
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    State                |    MT
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    Zip                  |    59901-3127
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    Country              |    US
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    Telephone            |    406-752-8330
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    Fax                  |    406-752-8412
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Provider Business Mailing Address
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    Address Line         |    160 HERITAGE WAY STE 201 
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    City                 |    KALISPELL
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    State                |    MT
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    Zip                  |    59901-3127
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    Country              |    US
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    Telephone            |    406-752-8330
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    Fax                  |    406-752-8412
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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       |    RN19942
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    License Number State |    MT
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    100282
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    License Number State |    MT
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