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General NPI Number Information
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NPI Number | 1225991383
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Entity Type | Individual
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Provider Name | ANDREW JOHN ANDERSON BSN, RN
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Gender | Male
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 601 US HYW 6
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City | IOWA CITY
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State | IA
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Zip | 52246
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Country | US
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Telephone | 319-338-0581
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 SEELY AVE SE
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City | CEDAR RAPIDS
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State | IA
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Zip | 52403-3549
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Country | US
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Telephone |
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 165093
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License Number State | IA
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