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General NPI Number Information
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NPI Number | 1639329279
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Entity Type | Individual
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Provider Name | AUDREY MAY NELSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 09/19/2008
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Provider Practice Location Address
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Address Line | 2105 VALKYRIE DR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-8117
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Country | US
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Telephone | 507-288-2901
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 VALKYRIE DR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-8117
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Country | US
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Telephone | 507-288-2901
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 17371
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License Number State | MN
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