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General NPI Number Information
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NPI Number | 1619817244
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Entity Type | Organization
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Legal Business Name | SECOND BLOOM WOMENS HEALTH PLLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 1200 W BROADWAY AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55411-2572
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Country | US
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Telephone | 612-382-8862
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Fax | 612-500-4946
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Provider Business Mailing Address
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Address Line | 6257 BEN MORE DR NE
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City | FRIDLEY
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State | MN
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Zip | 55432-5207
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Country | US
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Telephone | 612-382-8862
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Fax | 612-500-4946
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | NATYA NATE STROUD
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Credential | DNP
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Telephone | 612-382-8862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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