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General NPI Number Information
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NPI Number | 1265029052
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Entity Type | Individual
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Provider Name | LISA JEAN DARINGER ARNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 1655 E SAN MARNAN DR
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City | WATERLOO
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State | IA
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Zip | 50702-4378
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Country | US
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Telephone | 319-232-2281
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Fax |
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Provider Business Mailing Address
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Address Line | 411 EVERETTE ST
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City | ELK RUN HEIGHTS
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State | IA
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Zip | 50707-1409
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Country | US
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Telephone | 319-240-9961
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A161501
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | A161501
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License Number State | IA
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