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General NPI Number Information
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NPI Number | 1013987957
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Entity Type | Individual
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Provider Name | KRISTINE M ALSWAGER WHCNP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 121 E 8TH ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55402
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Country | US
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Telephone | 612-333-4822
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Fax |
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Provider Business Mailing Address
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Address Line | 4206 30TH AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-3132
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R142075-7
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License Number State | MN
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