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General NPI Number Information
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NPI Number | 1629664560
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Entity Type | Individual
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Provider Name | ZOE K JOSTEN CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/15/2020
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 6401 FRANCE AVE S
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City | EDINA
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State | MN
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Zip | 55435-2199
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Country | US
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Telephone | 952-927-7004
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Fax |
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Provider Business Mailing Address
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Address Line | 2210 PLYMOUTH RD APT 216
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City | MINNETONKA
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State | MN
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Zip | 55305-2343
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Country | US
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Telephone | 408-623-4583
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2553
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License Number State | MN
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