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General NPI Number Information
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NPI Number | 1265257182
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Entity Type | Organization
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Legal Business Name | WEE CARE PEDIATRICS
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 122 S MAIN ST
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City | SIGOURNEY
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State | IA
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Zip | 52591-1420
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Country | US
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Telephone | 641-660-4702
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Fax | 641-622-6908
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Provider Business Mailing Address
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Address Line | 122 S MAIN ST
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City | SIGOURNEY
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State | IA
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Zip | 52591-1420
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Country | US
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Telephone | 641-622-6902
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Fax | 641-622-6908
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Authorized Official
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Title or Position | PEDIATRIC NURSE PRACTITIONER
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Name | STACY LYNNAE CRILL
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Credential | ARNP
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Telephone | 641-622-6902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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