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General NPI Number Information
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NPI Number | 1770417412
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Entity Type | Individual
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Provider Name | SARAH EDWARDY BSN, RN, PHN
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Gender | Female
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 1155 FORD RD
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-1099
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Country | US
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Telephone | 952-378-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 11205 GOODHUE ST NE
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City | BLAINE
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State | MN
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Zip | 55449-4415
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Country | US
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Telephone | 612-751-3683
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | R167618-7
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License Number State | MN
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