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General NPI Number Information
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NPI Number | 1184044968
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Entity Type | Individual
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Provider Name | JOSEPH ANDREW NELSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 8053 E BLOOMINGTON FWY STE 450
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City | BLOOMINGTON
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State | MN
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Zip | 55420-1031
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Country | US
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Telephone | 612-376-7708
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Fax |
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Provider Business Mailing Address
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Address Line | 8053 E BLOOMINGTON FWY STE 450
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City | BLOOMINGTON
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State | MN
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Zip | 55420-1031
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Country | US
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Telephone | 612-376-7708
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD61320199
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-14883
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2021-02781
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036158248
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 38537
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License Number State | OK
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 33959
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License Number State | NE
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD475790
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2021045545
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License Number State | MO
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 72074
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License Number State | CT
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | EMC0002092
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License Number State | MI
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MED-PHYS-LIC-111758
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License Number State | MT
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 92908
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License Number State | GA
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Taxonomy #13
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | Q9211
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License Number State | TX
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Taxonomy #14
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 71884
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License Number State | MN
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