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General NPI Number Information
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NPI Number | 1851288328
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Entity Type | Organization
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Legal Business Name | ALTHEA MEDICAL GROUP - OAKDALE
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 902 INWOOD AVE N
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City | OAKDALE
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State | MN
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Zip | 55128-6625
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Country | US
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Telephone | 651-788-0548
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Fax | 651-666-1438
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Provider Business Mailing Address
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Address Line | 3034 EDGEWATER DR
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City | WOODBURY
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State | MN
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Zip | 55125-8715
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Country | US
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Telephone | 651-788-0548
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Fax | 651-666-1438
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Authorized Official
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Title or Position | CEO
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Name | JESSICA SABROWSKY
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Credential | DNP, RN, FNP-BC
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Telephone | 651-788-0548
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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 |
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License Number State |
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