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General NPI Number Information
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NPI Number | 1902853492
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Entity Type | Individual
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Provider Name | DEBRA K DOCKTER NP-C
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Gender | Female
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 1000 E ROSSER AVE
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City | BISMARCK
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State | ND
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Zip | 58501-4414
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Country | US
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Telephone | 701-530-6010
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Fax | 701-530-6430
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Provider Business Mailing Address
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Address Line | 401 N 9TH ST
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City | BISMARCK
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State | ND
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Zip | 58501-4507
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Country | US
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Telephone | 701-530-6010
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Fax | 701-530-6430
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R21549
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License Number State | ND
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