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General NPI Number Information
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NPI Number | 1497938369
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Entity Type | Individual
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Provider Name | TRUDY TERREEN UJDUR MA, C-FNP
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Gender | Female
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 06/30/2017
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Provider Practice Location Address
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Address Line | 251 5TH ST E
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City | TRACY
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State | MN
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Zip | 56175-1536
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Country | US
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Telephone | 507-629-3520
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Fax | 507-212-8260
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Provider Business Mailing Address
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Address Line | PO BOX 1015
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City | TRACY
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State | MN
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Zip | 56175-0015
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Country | US
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Telephone | 218-310-7421
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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 | R073412-7
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP3703
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License Number State | MN
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