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General NPI Number Information
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NPI Number | 1851608178
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Entity Type | Individual
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Provider Name | NATHAN L CHRISTENSON NP
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Gender | Male
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 3800 PARK NICOLLET BLVD
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-2527
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Country | US
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Telephone | 952-993-3132
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Fax |
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R 198898-5
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R198898-5
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71003368A
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License Number State | IN
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