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General NPI Number Information
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NPI Number | 1538694047
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Entity Type | Individual
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Provider Name | JERRICA LEE SCHELHORN DNP CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/23/2017
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Last Update Date | 04/20/2025
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Provider Practice Location Address
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Address Line | 6099 WAYZATA BLVD STE 300
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-5538
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Country | US
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Telephone | 952-832-9360
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Fax |
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Provider Business Mailing Address
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Address Line | 7455 FRANCE AVE S PMB 416
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City | EDINA
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State | MN
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Zip | 55435-2302
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Country | US
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Telephone | 612-998-4883
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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 | 213869-5
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3069
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License Number State | MN
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