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General NPI Number Information
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NPI Number | 1801205885
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Entity Type | Individual
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Provider Name | SHARAE LIANA BISCHOFF APRN, CNM
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Gender | Female
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 450 MOUNTAIN VIEW ST
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City | POWELL
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State | WY
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Zip | 82435-2212
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Country | US
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Telephone | 307-754-7257
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Fax | 314-467-4448
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Provider Business Mailing Address
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Address Line | 3200 CANYON LAKE DR., MAILBOX
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City | RAPID CITY
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State | SD
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Zip | 57702
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Country | US
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Telephone | 605-342-7400
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Fax | 605-716-4735
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | CM000124
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN-177139
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 1337
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State | WY
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