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General NPI Number Information
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NPI Number | 1811896418
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Entity Type | Organization
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Legal Business Name | PRAIRIE RIVER PSYCHIATRIC CARE
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 42935 QUARTZ RD
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City | STAPLES
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State | MN
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Zip | 56479-5169
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Country | US
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Telephone | 320-493-5487
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Fax | 218-302-1734
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Provider Business Mailing Address
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Address Line | 42935 QUARTZ RD
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City | STAPLES
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State | MN
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Zip | 56479-5169
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Country | US
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Telephone | 320-493-5487
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Fax | 218-302-1734
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | HEIDI MARIE HOPPE
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Credential | PMHNP, DNP
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Telephone | 320-493-5487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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