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General NPI Number Information
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NPI Number | 1134068992
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Entity Type | Organization
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Legal Business Name | AERIS CARE NETWORK PLLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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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 | 763-465-0588
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Provider Business Mailing 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 | 763-465-0588
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MCKENZIE BRACE
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Credential | CNP
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Telephone | 763-465-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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