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General NPI Number Information
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NPI Number | 1275800971
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Entity Type | Individual
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Provider Name | KATHY ANN BEAULIEU-SANDERS R.N.
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Gender | Female
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2700 E 28TH ST SUITE 170
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-2990
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Country | US
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Telephone | 612-872-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 11911 48TH ST NE
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City | SAINT MICHAEL
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State | MN
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Zip | 55376-1103
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Country | US
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Telephone | 952-715-7221
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | R 203349-9
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License Number State | MN
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