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General NPI Number Information
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NPI Number | 1265213953
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Entity Type | Individual
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Provider Name | TOBIAS LEANDER GUINDON FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 205 WABASHA ST S
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City | SAINT PAUL
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State | MN
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Zip | 55107-1805
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Country | US
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Telephone | 952-541-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 205 WABASHA ST S
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City | SAINT PAUL
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State | MN
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Zip | 55107-1805
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Country | US
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Telephone | 952-883-6999
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Fax | 651-293-8161
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2023062992
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License Number State | MN
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