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General NPI Number Information
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NPI Number | 1558373340
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Entity Type | Individual
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Provider Name | J'LAINE PROCTOR FNP-BC, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 10/22/2011
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Provider Practice Location Address
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Address Line | 1465 N 4TH ST SUITE #119
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City | LARAMIE
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State | WY
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Zip | 82072-2066
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Country | US
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Telephone | 307-721-0700
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Fax | 307-721-1039
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Provider Business Mailing Address
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Address Line | 1465 N 4TH ST SUITE 119
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City | LARAMIE
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State | WY
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Zip | 82072-2066
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Country | US
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Telephone | 307-721-0700
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Fax | 307-721-1039
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 199070282
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 19907.0282
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License Number State | WY
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