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General NPI Number Information
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NPI Number | 1245320753
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Entity Type | Individual
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Provider Name | LUANN M OKRINA-KIBIRA NP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 1020 W BROADWAY AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55411-2504
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Country | US
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Telephone | 612-302-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 420 DELAWARE ST SE UNIVERSITY OF MINNESOTA PHYSICIANS
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-0341
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Country | US
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Telephone | 612-302-8200
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | R111536-3
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License Number State | MN
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