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General NPI Number Information
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NPI Number | 1295721835
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Entity Type | Individual
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Provider Name | KAREN ANN NELSON RIETZ PHD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 221 E COLLEGE ST STE 211
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City | IOWA CITY
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State | IA
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Zip | 52240-1759
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Country | US
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Telephone | 319-382-6930
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Fax | 319-337-0686
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Provider Business Mailing Address
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Address Line | 948 DUCK CREEK DR
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City | IOWA CITY
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State | IA
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Zip | 52246-8674
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Country | US
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Telephone | 319-382-6930
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Fax | 319-337-0686
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 00811
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 0811
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License Number State | IA
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