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General NPI Number Information
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NPI Number | 1588437859
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Entity Type | Organization
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Legal Business Name | IA HEALTHLINK
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 2707 BOLTON BOONE DR STE 100
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City | DESOTO
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State | TX
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Zip | 75115-2077
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Country | US
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Telephone | 972-746-7771
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Fax | 866-969-4184
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Provider Business Mailing Address
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Address Line | 2707 BOLTON BOONE DR STE 100
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City | DESOTO
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State | TX
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Zip | 75115-2077
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Country | US
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Telephone | 972-746-7771
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Fax | 866-969-4184
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Authorized Official
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Title or Position | OWNER
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Name | ANN STEELE
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Credential |
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Telephone | 972-746-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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