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General NPI Number Information
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NPI Number | 1245891498
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE SPURGEON AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 411 LAUREL ST STE A300
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City | DES MOINES
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State | IA
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Zip | 50314-3030
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Country | US
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Telephone | 515-282-2921
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Fax | 515-283-1035
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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 | 52242-1009
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Country | US
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Telephone | 515-282-2921
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Fax | 515-282-1035
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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 | H155613
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 127316
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License Number State | IA
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