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General NPI Number Information
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NPI Number | 1013944578
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Entity Type | Individual
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Provider Name | MARY MARGARET DANICH N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | UNIVERSITY OF MINNESOTA PHYSICIANS 606 24TH AVENUE SOUTH, SUITE 500
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City | MINNEAPOLIS
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State | MN
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Zip | 55455
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Country | US
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Telephone | 612-627-4564
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Fax |
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Provider Business Mailing Address
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Address Line | UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE STREET SE, MMC 395
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City | MINNEAPOLIS
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State | MN
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Zip | 55455
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Country | US
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Telephone | 612-626-3111
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Fax | 612-626-0665
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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 | R 081679-9
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R 081679-9
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License Number State | MN
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