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General NPI Number Information
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NPI Number | 1972418978
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Entity Type | Individual
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Provider Name | SYDNEY ANN ROBIDEAUX
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 559 CAPITOL BLVD
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City | SAINT PAUL
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State | MN
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Zip | 55103-2101
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Country | US
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Telephone | 877-358-3408
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Fax |
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Provider Business Mailing Address
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Address Line | 9684 93RD AVE N
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City | MAPLE GROVE
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State | MN
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Zip | 55369-4255
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Country | US
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Telephone | 763-274-9137
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 14597
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License Number State | MN
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