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General NPI Number Information
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NPI Number | 1174677074
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Entity Type | Individual
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Provider Name | MARY M DRURY ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 799 MAIN ST STE 230
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City | DUBUQUE
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State | IA
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Zip | 52001-6844
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Country | US
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Telephone | 563-556-3700
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Fax | 563-556-3702
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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 | 52242-1007
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Country | US
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Telephone | 563-556-3700
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Fax | 563-556-3702
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 075072
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License Number State | IA
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