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General NPI Number Information
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NPI Number | 1497618409
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Entity Type | Individual
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Provider Name | NICOLE SPARGUR RN,BSN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 2222 18TH AVE NW STE 101
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City | ROCHESTER
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State | MN
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Zip | 55901-7952
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Country | US
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Telephone | 651-287-0185
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Fax |
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Provider Business Mailing Address
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Address Line | 29501 900TH AVE
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City | AUSTIN
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State | MN
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Zip | 55912-7401
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Country | US
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Telephone | 507-438-9246
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1741669
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License Number State | MN
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