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General NPI Number Information
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NPI Number | 1720608110
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Entity Type | Individual
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Provider Name | NATASHA LYNN ISAMAN APRN
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Gender | Female
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Dates
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Enumeration Date | 04/26/2020
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 15976 COUNTY HIGHWAY 6
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City | LAKE PARK
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State | MN
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Zip | 56554-9111
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Country | US
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Telephone | 218-205-2608
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Fax |
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Provider Business Mailing Address
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Address Line | 15976 COUNTY HIGHWAY 6
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City | LAKE PARK
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State | MN
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Zip | 56554-9111
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Country | US
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Telephone | 218-420-0202
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Fax | 218-270-5134
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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 | 364SP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 7498
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License Number State | MN
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