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General NPI Number Information
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NPI Number | 1922981604
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Entity Type | Individual
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Provider Name | BRITTNEY HAUKOM
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Gender |
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 8661 RICH RD
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City | BLOOMINGTON
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State | MN
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Zip | 55437-1366
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Country | US
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Telephone | 507-530-4512
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Fax |
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Provider Business Mailing Address
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Address Line | 8661 RICH RD
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City | BLOOMINGTON
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State | MN
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Zip | 55437-1366
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13076
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License Number State | MN
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