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General NPI Number Information
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NPI Number | 1417922584
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Entity Type | Individual
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Provider Name | SHIRLEY J JARCHO APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 6565 FRANCE AVE SOUTH SUITE 300
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City | EDINA
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State | MN
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Zip | 55435
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Country | US
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Telephone | 952-927-4045
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Fax | 952-927-0867
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Provider Business Mailing Address
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Address Line | 6565 FRANCE AVE SOUTH SUITE 300
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City | EDINA
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State | MN
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Zip | 55435
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Country | US
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Telephone | 952-927-4045
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Fax | 952-927-0867
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | R1022650
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 102265-0
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | R102265-0
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License Number State | MN
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