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General NPI Number Information
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NPI Number | 1063413250
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Entity Type | Individual
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Provider Name | DANIEL PAUL SPIELMAN APRN, CNP
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 4040 RADIO DR
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City | WOODBURY
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State | MN
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Zip | 55129-3237
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Country | US
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Telephone | 651-439-8807
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Fax | 651-439-0232
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Provider Business Mailing Address
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Address Line | 4200 DAHLBERG DR STE 300
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City | GOLDEN VALLEY
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State | MN
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Zip | 55422-4841
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Country | US
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Telephone | 952-512-5600
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R-143255-4
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CNP1090
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License Number State | MN
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