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General NPI Number Information
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NPI Number | 1154572071
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Entity Type | Individual
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Provider Name | SUE ANNE SCHABER RN
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Gender | Female
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 2020 BLOOMINGTON AVE HEALTH STAR
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City | MINNEAPOLIS
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State | MN
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Zip | 55404
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Country | US
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Telephone | 612-871-3700
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Fax | 612-871-3705
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Provider Business Mailing Address
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Address Line | 2385 ARIEL ST. N HEALTH STAR
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City | MAPLEWOOD
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State | MN
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Zip | 55109
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Country | US
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Telephone | 651-633-7300
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Fax | 651-633-7301
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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 | R094559-Z
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License Number State | MN
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