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General NPI Number Information
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NPI Number | 1962204099
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Entity Type | Individual
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Provider Name | CHARLOTTE FRANCES NELSON APRN
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Gender | Female
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 500 W BROADWAY ST STE 320
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City | MISSOULA
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State | MT
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Zip | 59802-4003
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Country | US
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Telephone | 406-329-5615
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Fax |
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Provider Business Mailing Address
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Address Line | 200 COOPER DR
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City | CASCADE
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State | MT
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Zip | 59421-8406
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Country | US
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Telephone | 210-630-1886
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 259469
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License Number State | MT
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