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General NPI Number Information
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NPI Number | 1326030412
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Entity Type | Individual
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Provider Name | SHERI LYNN ROACH A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 303 UNIVERSITY AVE
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City | DES MOINES
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State | IA
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Zip | 50314-3126
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Country | US
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Telephone | 515-243-4241
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Fax | 515-243-0209
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Provider Business Mailing Address
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Address Line | 12339 STRATFORD DR
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City | CLIVE
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State | IA
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Zip | 50325-8148
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Country | US
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Telephone | 515-263-9107
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Fax | 515-265-9888
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | F-070928
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License Number State | IA
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