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General NPI Number Information
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NPI Number | 1033933064
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Entity Type | Individual
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Provider Name | MONICA GUZDKIEWICZ DAUGHERTY APRN, CNM, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 3007 HARBOR LN N STE 1600
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City | PLYMOUTH
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State | MN
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Zip | 55447-5142
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Country | US
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Telephone | 763-230-2917
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Fax |
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Provider Business Mailing Address
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Address Line | 14887 144TH AVE N
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City | DAYTON
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State | MN
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Zip | 55327-4431
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 532
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 12471
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License Number State | MN
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