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General NPI Number Information
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NPI Number | 1477546760
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Entity Type | Individual
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Provider Name | STACEY L RIFFE CPNP-PC, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 16862 BECKWITH ST. SUITE Q
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City | FRENCHTOWN
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State | MT
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Zip | 59834
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Country | US
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Telephone | 406-327-4046
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Fax | 406-327-4071
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Provider Business Mailing Address
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Address Line | PO BOX 535
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City | FRENCHTOWN
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State | MT
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Zip | 59834-0535
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Country | US
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Telephone | 406-541-4700
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Fax | 406-541-4701
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN29524
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 100571
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License Number State | MT
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