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General NPI Number Information
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NPI Number | 1093950453
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Entity Type | Individual
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Provider Name | ELAINE HEDLUND FITZGERALD CNP
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Gender | Female
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 3301 7TH AVENUE NORTH
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City | ANOKA
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State | MN
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Zip | 55303
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Country | US
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Telephone | 651-431-5179
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Fax |
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Provider Business Mailing Address
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Address Line | 6281 TRINITY DRIVE
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City | FRIDLEY
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State | MN
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Zip | 55432
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Country | US
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Telephone | 651-431-5179
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R117171-8
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License Number State | MN
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