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NPI 1801450291

NPI 1801450291 : NURA PLLC : COON RAPIDS, MN

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General NPI Number Information
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    NPI Number           |    1801450291
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    Entity Type          |    Organization 
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    Legal Business Name  |    NURA PLLC 
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Dates
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    Enumeration Date     |    05/01/2019
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    2104 NORTHDALE BLVD NW STE 220 
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    City                 |    COON RAPIDS
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    State                |    MN
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    Zip                  |    55433-3046
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    Country              |    US
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    Telephone            |    763-537-6000
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    Fax                  |    763-537-6666
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Provider Business Mailing Address
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    Address Line         |    2104 NORTHDALE BLVD NW STE 220 
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55433-3046
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    Country              |    US
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    Telephone            |    763-537-6000
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    Fax                  |    763-537-6666
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Authorized Official
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    Title or Position    |    CEO/OWNER
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    Name                 |     SANDFORD M SCHOCKET 
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    Credential           |    MD
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    Telephone            |    763-537-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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    License Number       |    
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    License Number State |    
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