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General NPI Number Information
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NPI Number | 1538945621
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Entity Type | Individual
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Provider Name | MADELYNN ROSE DICKINSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 2489 HIGHWAY 92
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City | WASHINGTON
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State | IA
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Zip | 52353-9337
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Country | US
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Telephone | 319-206-9383
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Fax |
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Provider Business Mailing Address
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Address Line | 1628 DOGWOOD AVE
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City | WELLMAN
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State | IA
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Zip | 52356-9611
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Country | US
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Telephone | 319-217-3549
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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 | A176173
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License Number State | IA
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