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General NPI Number Information
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NPI Number | 1053386607
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Entity Type | Individual
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Provider Name | CYDNEY BULGER ANP
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Gender | Female
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 2635 UNIVERSITY AVE W STE 100
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City | SAINT PAUL
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State | MN
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Zip | 55114-1270
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Country | US
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Telephone | 651-603-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 BANDANA BLVD E STE 200
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City | SAINT PAUL
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State | MN
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Zip | 55108-5127
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Country | US
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Telephone | 651-642-2734
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Fax | 651-637-2931
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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 | 0888808
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License Number State | MN
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