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General NPI Number Information
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NPI Number | 1558280685
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Entity Type | Individual
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Provider Name | SYDNEY MARTHA JOHNSON-HOLT
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Gender | Female
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 720 WASHINGTON AVE SE STE 200
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-2924
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Country | US
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Telephone | 612-884-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 5173 YUMA LN N
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City | PLYMOUTH
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State | MN
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Zip | 55446-2015
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Country | US
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Telephone | 763-331-4382
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 2483004
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License Number State | MN
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