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General NPI Number Information
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NPI Number | 1235989526
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Entity Type | Individual
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Provider Name | MICHAELINE MARY ONDREY RN, NBC-HWC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 683 STINSON BLVD
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City | SAINT PAUL
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State | MN
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Zip | 55112-2511
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Country | US
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Telephone | 612-210-9897
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Fax |
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Provider Business Mailing Address
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Address Line | 683 STINSON BLVD
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City | SAINT PAUL
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State | MN
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Zip | 55112-2511
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2271756
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 2271756
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 2271756
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-3888831
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License Number State |
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