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General NPI Number Information
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NPI Number | 1952560401
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Entity Type | Individual
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Provider Name | AMY NICOLE PASSERO RN
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Gender | Female
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | PINE RIDGE IHS HOSPITAL E HIGHWAY 18
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City | PINE RIDGE
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State | SD
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Zip | 57770-1201
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Country | US
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Telephone | 605-867-3108
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Fax |
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Provider Business Mailing Address
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Address Line | 6717 HIGHWAY 20
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City | CHADRON
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State | NE
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Zip | 69337-5333
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Country | US
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Telephone | 605-867-3108
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | R029728
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License Number State | SD
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