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General NPI Number Information
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NPI Number | 1366315129
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Entity Type | Individual
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Provider Name | RACHEL B IHDE
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Gender |
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Dates
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Enumeration Date | 09/27/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 620 NORTHWESTERN DR STE 1
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City | STORM LAKE
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State | IA
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Zip | 50588-2935
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Country | US
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Telephone | 712-358-1926
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Fax |
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Provider Business Mailing Address
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Address Line | 620 NORTHWESTERN DR STE 1
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City | STORM LAKE
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State | IA
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Zip | 50588-2935
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Country | US
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Telephone | 712-732-5030
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 109489
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License Number State | IA
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