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General NPI Number Information
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NPI Number | 1891419339
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Entity Type | Individual
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Provider Name | VICTORIA HOWERTON RN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | RR 1 BOX 169
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City | WILLOW SPRINGS
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State | MO
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Zip | 65793-9603
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Country | US
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Telephone | 417-505-8469
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Fax |
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Provider Business Mailing Address
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Address Line | 214 W MAPLE ST
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City | WEST PLAINS
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State | MO
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Zip | 65775-2817
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Country | US
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Telephone | 141-256-0750
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 2019022316
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License Number State | MO
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