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General NPI Number Information
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NPI Number | 1760411839
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Entity Type | Organization
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Legal Business Name | CONTINENCE CONSULTING
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 1529 NOTTINGHAM DR
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City | NORTH MANKATO
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State | MN
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Zip | 56003-2811
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Country | US
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Telephone | 507-317-3365
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Fax |
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Provider Business Mailing Address
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Address Line | 1529 NOTTINGHAM DR
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City | NORTH MANKATO
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State | MN
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Zip | 56003-2811
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Country | US
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Telephone | 507-317-3365
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. DEBRA SUE NETSCH
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Credential | RN, DNP, CNP
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Telephone | 507-317-3365
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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 | NP1284252
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License Number State | MN
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