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General NPI Number Information
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NPI Number | 1063391514
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Entity Type | Individual
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Provider Name | CHRISTINE SHARON HABIGER NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 820 LILAC DR N STE 140
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City | GOLDEN VALLEY
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State | MN
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Zip | 55422-4791
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Country | US
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Telephone | 763-465-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 1886 GLENPAUL AVE
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City | ARDEN HILLS
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State | MN
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Zip | 55112-7904
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Country | US
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Telephone | 612-345-1479
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13069
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License Number State | MN
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