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General NPI Number Information
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NPI Number | 1366896268
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Entity Type | Organization
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Legal Business Name | NURSE PRACTITIONER ASSOCIATES, LTD.
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Dates
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Enumeration Date | 04/17/2016
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Last Update Date | 04/17/2016
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Provider Practice Location Address
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Address Line | 30790 ZEPHYR VALLEY LN
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City | RUSHFORD
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State | MN
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Zip | 55971-4211
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Country | US
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Telephone | 507-330-2151
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Fax |
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Provider Business Mailing Address
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Address Line | 30790 ZEPHYR VALLEY LN
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City | RUSHFORD
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State | MN
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Zip | 55971-4211
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Country | US
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Telephone | 507-330-2151
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | THERESA M ZEMAN
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Credential | PMHNP-BC, GNP-BC
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Telephone | 507-330-2151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | CNP0410
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP0410
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License Number State | MN
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