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General NPI Number Information
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NPI Number | 1326767872
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Entity Type | Individual
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Provider Name | JULIUS MIRANYI NYAMAO DNP APRN FNP
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Gender | Male
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 6350 W 143RD ST STE 200
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City | SAVAGE
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State | MN
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Zip | 55378-2890
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Country | US
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Telephone | 952-428-1010
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Fax | 952-428-1005
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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 | 612-262-9000
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9448
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License Number State | MN
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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 | 1352733
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9448
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License Number State | MN
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