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General NPI Number Information
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NPI Number | 1275281511
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Entity Type | Individual
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Provider Name | CHANTELL MONICK HOWARD ELECTROLOGIST
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Gender | Female
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 100 COURT AVE STE 440
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City | DES MOINES
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State | IA
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Zip | 50309-2216
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Country | US
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Telephone | 515-681-3143
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Fax |
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Provider Business Mailing Address
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Address Line | 513 1ST ST NW
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City | BONDURANT
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State | IA
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Zip | 50035-2161
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Country | US
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Telephone | 515-681-3143
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 111338
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number | 111338
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License Number State | IA
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