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General NPI Number Information
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NPI Number | 1114369196
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Entity Type | Individual
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Provider Name | PAULINA CHALUPSKY NP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 56 OUTER DR
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City | SILVER BAY
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State | MN
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Zip | 55614-1133
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Country | US
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Telephone | 218-353-8709
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Fax | 218-226-6107
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Provider Business Mailing Address
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Address Line | 56 OUTER DR
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City | SILVER BAY
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State | MN
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Zip | 55614-1133
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Country | US
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Telephone | 218-353-8709
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Fax | 218-226-6107
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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 | R190097-6
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License Number State | MN
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