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NPI 1295705895

NPI 1295705895 : PAMELA K ESTES A.R.N.P. : CRESTON, IA

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General NPI Number Information
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    NPI Number           |    1295705895
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    Entity Type          |    Individual 
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    Provider Name        |    PAMELA K ESTES A.R.N.P.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/25/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    907 W TOWNLINE ST 
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    City                 |    CRESTON
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    State                |    IA
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    Zip                  |    50801-1126
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    Country              |    US
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    Telephone            |    641-782-8244
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    Fax                  |    641-782-6527
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4557 
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    City                 |    DES MOINES
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    State                |    IA
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    Zip                  |    50306-4557
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    Country              |    US
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    Telephone            |    515-280-7004
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    Fax                  |    515-280-9525
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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        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    084106
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    License Number State |    IA
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