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General NPI Number Information
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NPI Number | 1316851447
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Entity Type | Individual
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Provider Name | IMMACULATA MARIS NKIRUKA ECHIBE
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2803 157TH ST
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City | URBANDALE
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State | IA
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Zip | 50323-2285
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Country | US
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Telephone | 815-616-0980
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Fax |
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Provider Business Mailing Address
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Address Line | 2803 157TH ST
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City | URBANDALE
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State | IA
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Zip | 50323-2285
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Country | US
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Telephone | 815-616-0980
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 193264
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License Number State | IA
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