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General NPI Number Information
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NPI Number | 1073299707
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Entity Type | Individual
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Provider Name | ABBY MAE KERKER MS, RDN, LD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 200 HAWKINS DR
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City | IOWA CITY
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State | IA
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Zip | 52242-1009
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Country | US
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Telephone | 319-467-5078
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 DUCHESS DR UNIT 7
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City | SOLON
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State | IA
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Zip | 52333-8818
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Country | US
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Telephone | 319-929-4897
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 112607
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License Number State | IA
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