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General NPI Number Information
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NPI Number | 1558136739
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Entity Type | Individual
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Provider Name | RENEE N CRUZ
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Gender | Female
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 08/02/2025
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Provider Practice Location Address
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Address Line | 1858 OSBORN ST
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City | BURLINGTON
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State | IA
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Zip | 52601-4551
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Country | US
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Telephone | 563-316-2934
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Fax |
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Provider Business Mailing Address
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Address Line | 1858 OSBORN
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City | BURLINGTON
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State | IA
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Zip | 52601-3144
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Country | US
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Telephone | 563-316-2934
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 887908
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0094567
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4546378
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 5654786
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 857096
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License Number State | IA
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Taxonomy #6
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 674569
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License Number State | IA
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Taxonomy #7
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 659900
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License Number State | IA
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Taxonomy #8
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number | 070657
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License Number State | IA
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