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General NPI Number Information
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NPI Number | 1912843103
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Entity Type | Individual
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Provider Name | PATRICE ANN STAMPS PIECZYNSKI
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 5621 COUNTY ROAD 101
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City | MINNETONKA
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State | MN
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Zip | 55345-4214
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Country | US
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Telephone | 952-401-5992
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Fax |
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Provider Business Mailing Address
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Address Line | 15461 W SUNRISE CIR
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City | EDEN PRAIRIE
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State | MN
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Zip | 55347-2544
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Country | US
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Telephone | 507-995-9039
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | R-1242553
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License Number State | MN
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