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General NPI Number Information
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NPI Number | 1174200356
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Entity Type | Individual
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Provider Name | NATHAN WILLIAM KORANDA DNP
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Gender | Male
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 700 RAYMOND AVE STE 130
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City | SAINT PAUL
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State | MN
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Zip | 55114-1778
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Country | US
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Telephone | 612-699-7766
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Fax |
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Provider Business Mailing Address
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Address Line | 5123 W 98TH ST # 2110
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City | MINNEAPOLIS
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State | MN
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Zip | 55437-2040
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Country | US
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Telephone | 630-854-6601
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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 | 10393
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License Number State | MN
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