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General NPI Number Information
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NPI Number | 1154134815
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Entity Type | Individual
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Provider Name | JESSICA RAE DOOLITTLE ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 126 N 10TH ST
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City | FORT DODGE
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State | IA
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Zip | 50501-3915
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Country | US
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Telephone | 515-576-6500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20
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City | HARCOURT
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State | IA
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Zip | 50544-0020
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Country | US
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Telephone | 515-351-9790
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A182456
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License Number State | IA
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