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NPI 1003475690

NPI 1003475690 : MILGO HASSAN APRN, CNP, CNS : EDINA, MN

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General NPI Number Information
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    NPI Number           |    1003475690
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    Entity Type          |    Individual 
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    Provider Name        |    MILGO HASSAN APRN, CNP, CNS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2019
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    Last Update Date     |    11/18/2025
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Provider Practice Location Address
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    Address Line         |    6200 XERXES AVE S 
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    City                 |    EDINA
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    State                |    MN
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    Zip                  |    55423-1033
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    Country              |    US
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    Telephone            |    952-925-8500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15899 ELMHURST LN UNIT 7202 
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    City                 |    APPLE VALLEY
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    State                |    MN
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    Zip                  |    55124-4023
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    Country              |    US
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    Telephone            |    817-983-4481
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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        |    163WC0200X
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    Taxonomy Name        |    Critical Care Medicine Registered Nurse
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    License Number       |    235467-3
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    364S00000X
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    Taxonomy Name        |    Clinical Nurse Specialist
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    License Number       |    617
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    License Number State |    MN
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    13456
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    License Number State |    MN
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