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General NPI Number Information
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NPI Number | 1568489037
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Entity Type | Individual
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Provider Name | ANNA MERGIT NOVAK NP
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1055 WESTGATE DR STE 100
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City | SAINT PAUL
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State | MN
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Zip | 55114-1451
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Country | US
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Telephone | 612-282-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 WESTGATE DR STE 100
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City | SAINT PAUL
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State | MN
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Zip | 55114-1451
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4907
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License Number State | MN
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