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General NPI Number Information
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NPI Number | 1265386726
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Entity Type | Organization
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Legal Business Name | AD ASTRA PSYCHIATRIC SERVICES
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 510 S CLINTON ST
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City | IOWA CITY
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State | IA
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Zip | 52240-4212
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Country | US
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Telephone | 319-541-5914
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 GRYN DR
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City | IOWA CITY
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State | IA
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Zip | 52246-4405
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Country | US
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Telephone | 319-541-5914
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | THOMAS LARSON
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Credential | ARNP
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Telephone | 319-541-5914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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