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General NPI Number Information
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NPI Number | 1194888024
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Entity Type | Individual
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Provider Name | ALICIA D BARRON ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 1646 305TH ST
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City | TAMA
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State | IA
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Zip | 52339-9698
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Country | US
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Telephone | 641-484-4094
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Fax | 641-484-2432
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Provider Business Mailing Address
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Address Line | 112 HILLCREST DR
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City | REINBECK
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State | IA
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Zip | 50669-1370
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Country | US
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Telephone | 319-215-9286
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Fax | 641-456-5060
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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 | A-102846
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License Number State | IA
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