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General NPI Number Information
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NPI Number | 1740012988
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Entity Type | Individual
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Provider Name | JULAINE CHRISTINE ZIEMKE CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 1600 GRAND AVE
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City | SAINT PAUL
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State | MN
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Zip | 55105-1801
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Country | US
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Telephone | 763-447-8941
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Fax |
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Provider Business Mailing Address
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Address Line | 37350 VERDIN ST NW
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City | STANCHFIELD
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State | MN
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Zip | 55080-8721
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Country | US
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Telephone | 763-447-8941
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 202428126
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License Number State | MN
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