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General NPI Number Information
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NPI Number | 1821585209
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Entity Type | Individual
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Provider Name | LISA MARIE SCHERESKY O'NEIL PHD, MSN, APRN
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Gender | Female
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 6850 UPPER BOX ELDER ROAD
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City | BOX ELDER
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State | MT
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Zip | 59521
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Country | US
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Telephone | 406-395-1600
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Fax | 406-395-1804
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Provider Business Mailing Address
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Address Line | 6850 UPPER BOX ELDER ROAD
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City | BOX ELDER
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State | MT
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Zip | 59521
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Country | US
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Telephone | 406-395-1600
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Fax | 406-395-1804
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NUR-APRN-LIC-191101
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 21321
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License Number State | MT
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