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General NPI Number Information
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NPI Number | 1407856651
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Entity Type | Individual
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Provider Name | MELISSA RADEMACHER CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 1701 48TH ST STE 260
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City | WEST DES MOINES
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State | IA
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Zip | 50266-6726
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Country | US
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Telephone | 515-401-4774
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Fax | 515-254-3092
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Provider Business Mailing Address
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Address Line | 5901 WESTOWN PKWY STE 210
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8297
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Country | US
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Telephone | 515-221-9222
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Fax | 515-221-0575
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 109674
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R1357985
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License Number State | MN
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