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General NPI Number Information
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NPI Number | 1417933201
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Entity Type | Individual
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Provider Name | JULIE ANNE HAPPE M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 4801 VETERANS DR
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City | SAINT CLOUD
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State | MN
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Zip | 56303-2015
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Country | US
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Telephone | 952-237-1452
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Fax |
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Provider Business Mailing Address
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Address Line | 40 COUNTY ROAD 20
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City | MINNETRISTA
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State | MN
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Zip | 55359-9767
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Country | US
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Telephone | 952-237-1452
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Fax | 952-955-2707
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 34204
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License Number State | MN
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