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General NPI Number Information
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NPI Number | 1679837926
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Entity Type | Individual
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Provider Name | CASSIDY MARIE FUREY APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 2970 JUDICIAL RD
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City | BURNSVILLE
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State | MN
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Zip | 55337-7820
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Country | US
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Telephone | 952-224-8990
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Fax | 952-224-8991
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Provider Business Mailing Address
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Address Line | 2970 JUDICIAL RD STE 100
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City | BURNSVILLE
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State | MN
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Zip | 55337-7822
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Country | US
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Telephone | 952-224-8990
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Fax | 952-224-8991
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R1741300
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP3062
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C3062
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License Number State | MN
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