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General NPI Number Information
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NPI Number | 1902697840
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Entity Type | Organization
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Legal Business Name | MEDXPRESS HEALTH PLLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 566 EDMUND AVE APT 3
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City | SAINT PAUL
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State | MN
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Zip | 55103-1683
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Country | US
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Telephone | 651-442-9485
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Fax |
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Provider Business Mailing Address
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Address Line | 566 EDMUND AVE APT 3
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City | SAINT PAUL
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State | MN
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Zip | 55103-1683
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Country | US
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Telephone | 651-442-9485
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Fax |
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Authorized Official
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Title or Position | PA-C
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Name | SHERLYNE BARASA
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Credential | PA-C
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Telephone | 612-298-9792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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