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General NPI Number Information
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NPI Number | 1033913611
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Entity Type | Individual
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Provider Name | MARGARET ARLENE RIDDELL
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Gender | Female
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 3701 KATZ DR
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City | MARION
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State | IA
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Zip | 52302-3871
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Country | US
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Telephone | 319-377-3174
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Fax |
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Provider Business Mailing Address
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Address Line | 7821 KANE RD
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City | DUBUQUE
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State | IA
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Zip | 52003-9592
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Country | US
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Telephone | 563-564-0436
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A181578
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License Number State | IA
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