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General NPI Number Information
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NPI Number | 1205964061
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Entity Type | Individual
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Provider Name | JOSLIN DAWN THIEMANN C.R.N.A., NSPMC
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 1805 HENNEPIN AVE N
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City | GLENCOE
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State | MN
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Zip | 55336-1416
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Country | US
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Telephone | 320-864-3121
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Fax |
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Provider Business Mailing Address
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Address Line | 1621 MANCHESTER PL
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City | WACONIA
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State | MN
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Zip | 55387-4547
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Country | US
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Telephone | 651-353-3668
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 076739
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 76739
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License Number State | MN
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