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General NPI Number Information
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NPI Number | 1518952340
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Entity Type | Individual
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Provider Name | VANESSA SCHOLTES KOEMPEL CFNP
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Gender | Female
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 1104 W 139TH ST
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City | BURNSVILLE
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State | MN
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Zip | 55337-4455
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Country | US
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Telephone | 651-242-5890
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 W 139TH ST
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City | BURNSVILLE
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State | MN
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Zip | 55337-4455
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Country | US
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Telephone |
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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 | R1330452
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP0755
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License Number State | MN
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