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General NPI Number Information
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NPI Number | 1679407068
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Entity Type | Organization
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Legal Business Name | TRUE NORTH FAMILY CLINIC, LLC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 471 HIGHWAY 23
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City | FOLEY
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State | MN
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Zip | 56329-9145
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Country | US
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Telephone | 320-968-7234
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Fax | 320-968-7237
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Provider Business Mailing Address
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Address Line | 471 HIGHWAY 23
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City | FOLEY
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State | MN
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Zip | 56329-9145
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Country | US
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Telephone | 320-968-7234
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Fax | 320-968-7237
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | SHANA NELSON
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Credential | FNP
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Telephone | 320-968-7234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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