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NPI 1437280690

NPI 1437280690 : TAMARA RAE NORLING PA-C : MILBANK, SD

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General NPI Number Information
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    NPI Number           |    1437280690
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    Entity Type          |    Individual 
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    Provider Name        |    TAMARA RAE NORLING PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/08/2007
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    Last Update Date     |    03/06/2025
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Provider Practice Location Address
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    Address Line         |    WAPITI MEDICAL STAFFING 912 INDUSTRIAL DRIVE, SUITE 102
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    City                 |    MILBANK
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    State                |    SD
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    Zip                  |    57252
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    Country              |    US
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    Telephone            |    605-438-6918
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    Fax                  |    888-242-9992
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Provider Business Mailing Address
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    Address Line         |    66111 182ND PLACE 
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    City                 |    JACOBSON
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    State                |    MN
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    Zip                  |    55752
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    Country              |    US
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    Telephone            |    320-444-3596
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    1154
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    11867
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    License Number State |    MN
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