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General NPI Number Information
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NPI Number | 1487541082
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Entity Type | Organization
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Legal Business Name | NORTH IOWA WELLNESS CLINIC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 608 S 1ST AVE E
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City | LAKE MILLS
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State | IA
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Zip | 50450-1427
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Country | US
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Telephone | 507-383-5052
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Fax |
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Provider Business Mailing Address
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Address Line | 608 S 1ST AVE E
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City | LAKE MILLS
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State | IA
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Zip | 50450-1427
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Country | US
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Telephone | 641-590-6376
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | STEPHANIE LYN LORENSON
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Credential | ARNP
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Telephone | 641-590-6376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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