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General NPI Number Information
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NPI Number | 1427900646
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Entity Type | Individual
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Provider Name | KELSI SPARKS
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Gender | Female
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 500 22ND AVE NW
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City | WASECA
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State | MN
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Zip | 56093-2665
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Country | US
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Telephone | 507-201-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 33488 100TH ST
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City | WASECA
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State | MN
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Zip | 56093-5001
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13909
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License Number State | MN
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