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General NPI Number Information
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NPI Number | 1538383625
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Entity Type | Individual
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Provider Name | MARY HELEN ANDREOTTI RN CNP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 720 4TH AVE S
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City | SAINT CLOUD
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State | MN
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Zip | 56301-4442
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Country | US
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Telephone | 320-308-3191
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Fax | 320-308-3192
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Provider Business Mailing Address
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Address Line | 1921 MEADOW ROSE BLVD
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City | SAINT CLOUD
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State | MN
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Zip | 56301-9470
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Country | US
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Telephone | 320-253-1174
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R0475570
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License Number State | MN
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