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General NPI Number Information
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NPI Number | 1972025161
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Entity Type | Individual
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Provider Name | KATIE WOCKEN LOUWAGIE DNP, APRN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 07/10/2017
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Provider Practice Location Address
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Address Line | 3850 PARK NICOLLET BLVD
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-2527
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Country | US
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Telephone | 952-993-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2531 ARTHUR ST NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-3901
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Country | US
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Telephone | 651-357-3426
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5249
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 5249
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License Number State | MN
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