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General NPI Number Information
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NPI Number | 1326866906
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Entity Type | Individual
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Provider Name | SOFIA FRANCISCA MENDOZA BRUNO ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 201 S CLINTON ST STE 168
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City | IOWA CITY
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State | IA
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Zip | 52240-4034
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Country | US
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Telephone | 319-471-3413
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Fax | 319-467-8105
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Provider Business Mailing Address
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Address Line | 201 S CLINTON ST STE 168
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City | IOWA CITY
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State | IA
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Zip | 52240-4034
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Country | US
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Telephone | 319-471-3413
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Fax | 319-467-8105
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A180874
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License Number State | IA
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