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General NPI Number Information
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NPI Number | 1760112304
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND TELEHEALTH AND URGENT CARE LLC
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 48 BOE LN
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City | WHITEHALL
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State | MT
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Zip | 59759-9702
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Country | US
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Telephone | 406-498-6183
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Fax |
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Provider Business Mailing Address
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Address Line | 48 BOE LN
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City | WHITEHALL
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State | MT
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Zip | 59759-9702
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Country | US
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Telephone | 406-498-6183
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | LISA MARIE TURK
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Credential | APRN
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Telephone | 406-498-6183
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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 |
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License Number State |
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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 |
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License Number State |
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