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General NPI Number Information
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NPI Number | 1760621544
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Entity Type | Individual
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Provider Name | ERIN ELAINE NEIBAUER FNP
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Gender | Female
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 1010 SOUTH 7650 EAST CROW NORTHERN CHEYENNE INDIAN HOSP
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City | CROW AGENCY
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State | MT
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Zip | 59022
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Country | US
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Telephone | 406-638-3558
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Fax | 406-638-3482
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Provider Business Mailing Address
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Address Line | PO BOX 9 CROW/NORTHERN CHEYENNE IHS HOSPITAL
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City | CROW AGENCY
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State | MT
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Zip | 59022-0009
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Country | US
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Telephone | 406-638-3558
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Fax | 406-638-3482
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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 | APN20957
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License Number State | MT
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