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General NPI Number Information
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NPI Number | 1851283832
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Entity Type | Individual
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Provider Name | JAMIE CHARLES
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Gender | Female
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 3275 78TH ST E
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55076-3050
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Country | US
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Telephone | 651-470-5724
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Fax |
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Provider Business Mailing Address
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Address Line | 1 VETERANS DR
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-2309
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 768902
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License Number State | MN
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