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General NPI Number Information
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NPI Number | 1427764661
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Entity Type | Individual
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Provider Name | KELSEY LYNN LANGE NP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 246 5TH AVE S
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City | CLINTON
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State | IA
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Zip | 52732-4354
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Country | US
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Telephone | 563-278-7766
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Fax | 563-519-6495
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Provider Business Mailing Address
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Address Line | 1147 281ST AVE
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City | DELMAR
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State | IA
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Zip | 52037-9189
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Country | US
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Telephone | 563-219-5528
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A172884
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License Number State | IA
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