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General NPI Number Information
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NPI Number | 1487232187
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Entity Type | Individual
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Provider Name | FURTU SEIFEMICHAEL ANOTTA
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Gender | Female
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1415 LILAC DR N STE 190
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City | GOLDEN VALLEY
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State | MN
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Zip | 55422-4544
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Country | US
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Telephone | 763-267-8701
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Fax |
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Provider Business Mailing Address
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Address Line | 1871 130TH LN NW
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City | COON RAPIDS
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State | MN
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Zip | 55448-7059
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Country | US
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Telephone | 763-516-7420
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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 | F07202221
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License Number State | MN
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