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NPI 1285695882

NPI 1285695882 : CHERI L FRIEDRICH CNP : MAPLEWOOD, MN

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General NPI Number Information
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    NPI Number           |    1285695882
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    Entity Type          |    Individual 
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    Provider Name        |    CHERI L FRIEDRICH CNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/31/2006
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    Last Update Date     |    01/03/2017
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Provider Practice Location Address
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    Address Line         |    1655 BEAM AVE SUITE 302
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    City                 |    MAPLEWOOD
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    State                |    MN
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    Zip                  |    55109-1163
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    Country              |    US
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    Telephone            |    651-232-7800
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    Fax                  |    651-232-7826
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Provider Business Mailing Address
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    Address Line         |    10081 DOGWOOD ST NW STE 100
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    City                 |    COON RAPIDS
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    State                |    MN
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    Zip                  |    55448-5282
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    Country              |    US
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    Telephone            |    651-232-7800
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    Fax                  |    651-232-7826
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    R115852-4
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    License Number State |    MN
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