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General NPI Number Information
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NPI Number | 1225718588
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Entity Type | Individual
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Provider Name | ERIKA YOUNGQUIST BALES APRN
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Gender | Female
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Dates
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Enumeration Date | 07/21/2023
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Last Update Date | 12/23/2023
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Provider Practice Location Address
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Address Line | 309 COURT AVE STE 836
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City | DES MOINES
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State | IA
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Zip | 50309-2236
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Country | US
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Telephone | 515-207-2988
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Fax |
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Provider Business Mailing Address
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Address Line | 309 COURT AVE STE 836
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City | DES MOINES
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State | IA
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Zip | 50309-2236
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Country | US
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Telephone | 515-207-2988
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G176256
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61480296
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 13724038-4405
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10017607
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 34373
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License Number State | TN
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