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NPI 1396824918

NPI 1396824918 : NANCY MARIE RAHE ARNP : NORTH LIBERTY, IA

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General NPI Number Information
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    NPI Number           |    1396824918
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    Entity Type          |    Individual 
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    Provider Name        |    NANCY MARIE RAHE ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/03/2006
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    Last Update Date     |    08/31/2016
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Provider Practice Location Address
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    Address Line         |    3 LIONS DR 
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    City                 |    NORTH LIBERTY
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    State                |    IA
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    Zip                  |    52317-9575
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    Country              |    US
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    Telephone            |    319-467-5050
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    Fax                  |    319-467-7130
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Provider Business Mailing Address
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    Address Line         |    2346 MORMON TREK BLVD STE 1500
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    City                 |    IOWA CITY
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    State                |    IA
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    Zip                  |    52246-4371
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    Country              |    US
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    Telephone            |    319-337-7642
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    Fax                  |    319-339-1449
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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       |    A108489
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    License Number State |    IA
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