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General NPI Number Information
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NPI Number | 1265638423
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Entity Type | Individual
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Provider Name | KARI HUNERDOSSE
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 808 5TH AVE
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City | DES MOINES
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State | IA
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Zip | 50309-1315
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Country | US
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Telephone | 515-246-3508
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Fax |
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Provider Business Mailing Address
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Address Line | 2624 PATRICIA DR #406
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City | URBANDALE
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State | IA
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Zip | 50322-5254
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 006855
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License Number State | IA
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