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General NPI Number Information
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NPI Number | 1558157453
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Entity Type | Organization
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Legal Business Name | INNER PEACE - MENTAL HEALTH AND WELLNESS, PLLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 950 OFFICE PARK RD STE 325
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City | WEST DES MOINES
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State | IA
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Zip | 50265-2567
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Country | US
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Telephone | 515-505-3432
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Fax |
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Provider Business Mailing Address
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Address Line | 950 OFFICE PARK RD STE 325
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City | WEST DES MOINES
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State | IA
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Zip | 50265-2567
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Country | US
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Telephone | 515-505-3432
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LONNIE NORGAARD
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Credential | ARNP
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Telephone | 515-800-4492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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