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General NPI Number Information
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NPI Number | 1497896062
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Entity Type | Individual
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Provider Name | ELAINE CAROL BARCLAY NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 1300 E. CLIFF ROAD JHU PBG WELLNESS CENTER
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City | BURNSVILLE
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State | MN
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Zip | 55337
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Country | US
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Telephone | 952-895-2528
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Fax |
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Provider Business Mailing Address
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Address Line | 538 DEVONSHIRE DR
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City | YOUNG AMERICA
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State | MN
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Zip | 55397-9624
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Country | US
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Telephone | 952-467-3221
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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 | R 065689 4
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License Number State | MN
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