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General NPI Number Information
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NPI Number | 1669967188
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Entity Type | Individual
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Provider Name | NATHAN HAVERKAMP OD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 3001 WHITE BEAR AVE N STE 150
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City | MAPLEWOOD
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State | MN
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Zip | 55109-1215
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Country | US
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Telephone | 651-770-3923
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Fax |
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Provider Business Mailing Address
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Address Line | 18715 WILLOW SPRINGS RD
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City | DETROIT LAKES
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State | MN
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Zip | 56501-7997
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Country | US
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Telephone | 218-849-5952
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3576
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License Number State | MN
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