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General NPI Number Information
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NPI Number | 1316771009
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Entity Type | Individual
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Provider Name | LAUREN KELLEY BARTH DNP, APRN
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Gender | Female
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Dates
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Enumeration Date | 08/27/2024
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 7450 FRANCE AVE S STE 210
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City | EDINA
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State | MN
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Zip | 55435-4784
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Country | US
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Telephone | 952-852-5280
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Fax | 952-852-2361
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Provider Business Mailing Address
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Address Line | 2925 CHICAGO AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1321
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Country | US
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Telephone | 612-262-5000
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12014
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License Number State | MN
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