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General NPI Number Information
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NPI Number | 1073912200
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Entity Type | Individual
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Provider Name | AMANDA J RAUSCH ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 5680 420TH ST
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City | PAULLINA
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State | IA
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Zip | 51046-7502
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Country | US
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Telephone | 712-230-0030
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Fax | 712-355-5146
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Provider Business Mailing Address
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Address Line | 5680 420TH ST
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City | PAULLINA
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State | IA
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Zip | 51046-7502
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Country | US
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Telephone | 712-230-0030
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Fax | 712-355-5146
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A117814
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License Number State | IA
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