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General NPI Number Information
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NPI Number | 1447996541
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Entity Type | Individual
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Provider Name | LAUREN MARY CZARNECKA DNP, FNP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 501 E NICOLLET BLVD STE 100
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City | BURNSVILLE
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State | MN
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Zip | 55337-6772
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Country | US
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Telephone | 952-435-8516
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Fax | 763-287-2303
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Provider Business Mailing Address
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Address Line | 4225 GOLDEN VALLEY RD
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City | GOLDEN VALLEY
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State | MN
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Zip | 55422-4215
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Country | US
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Telephone | 763-588-0661
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Fax | 763-287-2303
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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 | 13510
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 13510
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License Number State | MN
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