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General NPI Number Information
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NPI Number | 1386163434
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Entity Type | Individual
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Provider Name | LAUREN NASVIK NP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2017
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 2004 FORD PKWY
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City | SAINT PAUL
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State | MN
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Zip | 55116-1931
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Country | US
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Telephone | 888-290-1209
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Fax |
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Provider Business Mailing Address
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Address Line | 2004 FORD PKWY
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City | SAINT PAUL
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State | MN
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Zip | 55116-1931
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Country | US
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Telephone | 612-256-8225
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Fax | 612-457-0216
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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 | 6961
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License Number State | MN
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