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General NPI Number Information
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NPI Number | 1639342009
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Entity Type | Individual
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Provider Name | TASHA BECK FREITAG CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 420 DELAWARE STREET SE MMC 126 UNIVERSITY OF MINNESOTA PHYSICIANS
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-0341
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Country | US
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Telephone | 763-782-6400
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Fax | 763-782-9558
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Provider Business Mailing Address
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Address Line | 6300 SHINGLE CREEK PKWY STE 600 UNIVERSITY OF MINNESOTA PHYSICIANS
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City | MINNEAPOLIS
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State | MN
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Zip | 55430-2127
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Country | US
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Telephone | 763-782-6400
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Fax | 763-782-9558
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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 | R162362
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License Number State | MD
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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 | SP013581
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3897
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License Number State | MN
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