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General NPI Number Information
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NPI Number | 1598041311
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Entity Type | Individual
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Provider Name | ANGELA PURPORA APNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 7373 FRANCE AVE S STE 202
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City | EDINA
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State | MN
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Zip | 55435-4551
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Country | US
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Telephone | 952-835-1311
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Fax | 952-428-0099
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Provider Business Mailing Address
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Address Line | 1125 BROADWAY ST N STE 3
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City | MENOMONIE
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State | WI
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Zip | 54751-1579
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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 | 4663-33
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License Number State | WI
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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 | CNP0079
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License Number State | MN
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