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General NPI Number Information
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NPI Number | 1407685415
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Entity Type | Organization
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Legal Business Name | NORTH DAKOTA CENTER FOR WEIGHT MANAGEMENT, PLLC
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 320 32ND AVE W STE 285
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City | WEST FARGO
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State | ND
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Zip | 58078-8372
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Country | US
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Telephone | 701-807-0684
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Fax | 833-605-4039
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Provider Business Mailing Address
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Address Line | 14887 FORK ST
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City | WHEATLAND
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State | ND
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Zip | 58079-4305
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Country | US
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Telephone | 701-807-0684
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Fax | 833-605-4039
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. RACHEL L FALEIDE
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Credential | DNP, FNP-C
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Telephone | 701-807-0684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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