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General NPI Number Information
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NPI Number | 1194017624
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Entity Type | Individual
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Provider Name | AMY LOUISE HAYCRAFT N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 03/23/2025
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Provider Practice Location Address
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Address Line | SOUTH CENTRAL HUMAN RELATIONS CENTER 610 FLORENCE AVE
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City | OWATONNA
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State | MN
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Zip | 55060
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Country | US
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Telephone | 507-451-2630
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Fax |
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Provider Business Mailing Address
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Address Line | 125 THISSEN CT
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City | MANKATO
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State | MN
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Zip | 56001-5578
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Country | US
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Telephone | 480-206-9477
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Fax | 602-262-8890
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 608
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP3999
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95027546
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License Number State | CA
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