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General NPI Number Information
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NPI Number | 1194021766
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Entity Type | Individual
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Provider Name | KUMBA UMU SOGBEH KANU NP
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Gender | Female
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1600 SAINT JOHNS BLVD STE 200
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City | MAPLEWOOD
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State | MN
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Zip | 55109-1190
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Country | US
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Telephone | 651-326-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 UNIVERSITY AVE W
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City | SAINT PAUL
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State | MN
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Zip | 55104-3727
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Country | US
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Telephone |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4426
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R166069-8
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4426
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License Number State | MN
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