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General NPI Number Information
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NPI Number | 1992129811
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Entity Type | Individual
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Provider Name | MOLLY RIES CNM, CNP
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Gender | Female
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 2400 32ND AVE S
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City | FARGO
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State | ND
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Zip | 58103-5800
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Country | US
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Telephone | 701-234-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5074
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5074
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Country | US
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Telephone |
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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 | 5778
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 148887-32
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 4023028
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 354
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 148887-32
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 354
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License Number State | MN
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