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General NPI Number Information
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NPI Number | 1487563409
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Entity Type | Individual
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Provider Name | MAGAN WRAPE
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Gender | Female
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 1750 YANKEE DOODLE RD
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City | EAGAN
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State | MN
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Zip | 55121-1613
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Country | US
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Telephone | 972-249-5165
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Fax |
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Provider Business Mailing Address
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Address Line | 241 WATERVIEW CT
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City | HICKORY CREEK
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State | TX
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Zip | 75065-0378
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Country | US
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Telephone | 972-249-5165
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | RN163022
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License Number State | AZ
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