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General NPI Number Information
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NPI Number | 1275197014
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Entity Type | Individual
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Provider Name | NASRO ABDULKADIR AHMED DNP, FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/26/2019
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 601 CARLSON PKWY STE 1050
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City | MINNETONKA
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State | MN
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Zip | 55305-5219
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Country | US
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Telephone | 952-393-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 8001 33RD AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55425-4603
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Country | US
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Telephone | 952-393-0505
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 6563
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License Number State | MN
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