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General NPI Number Information
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NPI Number | 1093601114
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Entity Type | Individual
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Provider Name | DRAKE RICHARD JENSEN ARNP
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Gender | Male
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 03/16/2026
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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 | 319-356-7102
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Fax | 319-353-6343
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Provider Business Mailing 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 | 319-356-7102
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Fax | 319-353-6343
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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 | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | A184756
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A184756
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License Number State | IA
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