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General NPI Number Information
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NPI Number | 1306703327
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Entity Type | Individual
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Provider Name | KAY MARIE LARUE COA,ABOC
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 3310 SPINNING WHEEL CT
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City | MUSCATINE
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State | IA
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Zip | 52761-2356
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Country | US
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Telephone | 563-571-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 601 HIGHWAY 6 W
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City | IOWA CITY
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State | IA
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Zip | 52246-2209
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Country | US
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Telephone | 319-338-0581
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 85721
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License Number State | IA
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