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General NPI Number Information
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NPI Number | 1487037073
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Entity Type | Individual
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Provider Name | ERIN KATHLEEN DAHN
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Gender | Female
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Dates
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Enumeration Date | 07/01/2015
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Last Update Date | 09/13/2015
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Provider Practice Location Address
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Address Line | 424 W STATE HIGHWAY 5
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City | WACONIA
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State | MN
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Zip | 55387-1723
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Country | US
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Telephone | 952-442-4461
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Fax |
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Provider Business Mailing Address
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Address Line | 424 W STATE HIGHWAY 5
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City | WACONIA
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State | MN
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Zip | 55387-1723
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Country | US
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Telephone | 952-442-4461
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | R196260-0
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | CNP 3975
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | CNP 3975
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License Number State | MN
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