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General NPI Number Information
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NPI Number | 1467611657
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Entity Type | Individual
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Provider Name | LATRICIA ANN ALT-PETERS APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 13045 FALCON DR SUITE 100
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City | BAXTER
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State | MN
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Zip | 56425-4201
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Country | US
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Telephone | 218-829-9307
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Fax | 218-829-7649
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Provider Business Mailing Address
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Address Line | PO BOX 367
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City | LITTLE FALLS
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State | MN
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Zip | 56345
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Country | US
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Telephone | 320-632-6647
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Fax | 320-632-9525
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP2129
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License Number State | MN
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