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General NPI Number Information
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NPI Number | 1750610523
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Entity Type | Individual
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Provider Name | ALAYNA CLAIRE PINE C.N.P.
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Gender | Female
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 02/11/2014
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Provider Practice Location Address
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Address Line | 606 24TH AVE S SUITE 700
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City | MINNEAPOLIS
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State | MN
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Zip | 55454-1455
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Country | US
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Telephone | 612-672-2450
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Fax | 612-672-2451
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Provider Business Mailing Address
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Address Line | 606 24TH AVE S SUITE 700
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City | MINNEAPOLIS
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State | MN
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Zip | 55454-1455
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Country | US
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Telephone | 612-672-2450
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Fax | 612-672-2451
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.10939
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA10939NP
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License Number State | OH
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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 | 2164847
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License Number State | MN
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