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General NPI Number Information
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NPI Number | 1235153313
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Entity Type | Individual
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Provider Name | DEBORAH LACROIX A.N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 909 FULTON ST SE
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-4800
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Country | US
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Telephone | 612-273-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 720 WASHINGTON AVE SE SUITE 300
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-2904
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Country | US
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Telephone | 612-884-0649
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Fax | 612-676-8992
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R0878481
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License Number State | MN
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