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NPI 1285634279

NPI 1285634279 : DEBRA MARIE ZOBEL UDEN ARNP, CPNP : CORALVILLE, IA

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General NPI Number Information
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    NPI Number           |    1285634279
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    Entity Type          |    Individual 
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    Provider Name        |    DEBRA MARIE ZOBEL UDEN ARNP, CPNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/31/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2001 ASHLYND DR 
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    City                 |    CORALVILLE
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    State                |    IA
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    Zip                  |    52241-9704
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    Country              |    US
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    Telephone            |    319-338-7042
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2001 ASHLYND DR 
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    City                 |    CORALVILLE
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    State                |    IA
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    Zip                  |    52241-9704
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    Country              |    US
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    Telephone            |    319-338-7042
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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        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    C092639
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    License Number State |    IA
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