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General NPI Number Information
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NPI Number | 1467475079
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Entity Type | Individual
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Provider Name | TERESA D SMITH-KEIL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 12/28/2017
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Provider Practice Location Address
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Address Line | 915 4TH ST NW
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City | CHOTEAU
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State | MT
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Zip | 59422-9123
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Country | US
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Telephone | 406-466-5763
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Fax | 406-466-5842
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Provider Business Mailing Address
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Address Line | 915 4TH ST NW
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City | CHOTEAU
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State | MT
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Zip | 59422-9123
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Country | US
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Telephone | 406-466-5763
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Fax | 406-466-5842
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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 | 22046.0304
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License Number State | WY
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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 | 14907
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License Number State | MT
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