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General NPI Number Information
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NPI Number | 1932623592
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Entity Type | Individual
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Provider Name | MAUREEN ELIZABETH SLETTEN NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 325 E MAIN ST
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City | ANOKA
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State | MN
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Zip | 55303-2401
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Country | US
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Telephone | 763-324-4620
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Fax |
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Provider Business Mailing Address
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Address Line | 1890 BLUESTEM LN
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City | SHOREVIEW
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State | MN
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Zip | 55126-5018
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Country | US
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Telephone | 16514347741
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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 | F07170446
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License Number State | MN
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