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General NPI Number Information
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NPI Number | 1871552323
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Entity Type | Individual
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Provider Name | LAUREL D EDINBURGH CPNP
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Gender | Female
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 1716 IRVING AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-2817
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Country | US
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Telephone | 612-719-5392
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 UNIVERSITY AVE W STE 229N
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City | SAINT PAUL
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State | MN
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Zip | 55114-1902
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Country | US
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Telephone | 651-645-3115
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1215
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R1447989
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R144789-9
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License Number State | MN
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