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General NPI Number Information
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NPI Number | 1861291536
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Entity Type | Organization
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Legal Business Name | TRAVELING HEALTH LLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 405 S HIGHWAY 44 76
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City | CALEDONIA
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State | MN
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Zip | 55921-1861
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Country | US
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Telephone | 608-668-9118
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Fax |
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Provider Business Mailing Address
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Address Line | 714 S MARSHALL ST
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City | CALEDONIA
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State | MN
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Zip | 55921-1418
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Country | US
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Telephone | 608-668-9118
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Fax | 608-305-8746
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA MAE HARTZELL MIDDENDORF
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Credential | ARNP
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Telephone | 608-668-9118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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