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General NPI Number Information
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NPI Number | 1841337334
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Entity Type | Individual
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Provider Name | NANCY PRUDENCE BAYER ANP
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 612 NORTH CHANDALAR AVE
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City | FAIRBANKS
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State | AK
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Zip | 99775-5580
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Country | US
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Telephone | 907-474-7043
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 755580
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City | FAIRBANKS
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State | AK
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Zip | 99775-5580
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Country | US
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Telephone | 907-474-7043
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Fax |
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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 | 532
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License Number State | AK
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