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General NPI Number Information
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NPI Number | 1467342253
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Entity Type | Individual
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Provider Name | JAMIE A LINDBERG NP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 4040 COON RAPIDS BLVD NW STE 120
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City | COON RAPIDS
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State | MN
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Zip | 55433-4568
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Country | US
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Telephone | 763-427-9980
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Fax |
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Provider Business Mailing Address
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Address Line | 801 38TH AVE
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City | ANOKA
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State | MN
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Zip | 55303-1225
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Country | US
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Telephone | 952-250-7054
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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 | 13021
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License Number State | MN
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