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General NPI Number Information
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NPI Number | 1942752571
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Entity Type | Individual
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Provider Name | AMBER BAKKE CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 5037 43RD AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-1616
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Country | US
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Telephone | 651-334-0590
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Fax |
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Provider Business Mailing Address
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Address Line | 2104 NORTHDALE BLVD NW STE 220
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City | COON RAPIDS
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State | MN
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Zip | 55433-3046
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Country | US
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Telephone | 763-537-6000
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Fax | 763-537-6666
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1973
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 111869
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License Number State | MN
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