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General NPI Number Information
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NPI Number | 1295771996
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Entity Type | Individual
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Provider Name | CYNTHIA LARAMY AHLER RN CNP
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Gender | Female
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9574 FOLEY BOULEVARD NW HEAD START BUILDING
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City | COON RAPIDS
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State | MN
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Zip | 55433
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Country | US
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Telephone | 763-783-3722
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Fax | 763-783-7944
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Provider Business Mailing Address
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Address Line | 9574 FOLEY BOULEVARD NW HEAD START BUILDING
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City | COON RAPIDS
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State | MN
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Zip | 55433
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Country | US
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Telephone | 763-783-3722
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Fax | 763-783-7944
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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 | R1316311
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License Number State | MN
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