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General NPI Number Information
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NPI Number | 1326009630
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Entity Type | Individual
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Provider Name | LISA D BOJADO NP
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Gender | Female
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 2854 HIGHWAY 55 STE 130
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City | EAGAN
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State | MN
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Zip | 55121-1447
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Country | US
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Telephone | 651-842-3328
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Fax | 651-842-3391
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Provider Business Mailing Address
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Address Line | 2854 HIGHWAY 55 STE 130
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City | EAGAN
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State | MN
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Zip | 55121-1447
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Country | US
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Telephone | 651-842-3328
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Fax | 651-842-3391
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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 | 5289
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F332670
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License Number State | NY
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