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General NPI Number Information
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NPI Number | 1558992198
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Entity Type | Individual
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Provider Name | LAURA PIERSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/02/2020
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 310 SUNNYVIEW LN
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City | KALISPELL
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State | MT
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Zip | 59901-3129
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Country | US
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Telephone | 406-751-6933
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Fax |
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Provider Business Mailing Address
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Address Line | 30 CHIP CT
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City | KALISPELL
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State | MT
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Zip | 59901-2781
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Country | US
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Telephone | 406-756-6465
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F05190973
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License Number State | MT
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