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NPI 1114878535

NPI 1114878535 : AMY N EARNEST : WEST DES MOINES, IA

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General NPI Number Information
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    NPI Number           |    1114878535
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    Entity Type          |    Individual 
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    Provider Name        |    AMY N EARNEST
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/04/2026
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    Last Update Date     |    02/11/2026
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Provider Practice Location Address
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    Address Line         |    5901 WESTOWN PKWY STE 220 
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    City                 |    WEST DES MOINES
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    State                |    IA
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    Zip                  |    50266-8297
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    Country              |    US
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    Telephone            |    509-670-8403
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    406 2ND ST SE 
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    City                 |    STATE CENTER
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    State                |    IA
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    Zip                  |    50247-2039
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    Country              |    US
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    Telephone            |    509-670-8403
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    TAT-A-4078
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    License Number State |    IA
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