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General NPI Number Information
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NPI Number | 1588552053
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Entity Type | Individual
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Provider Name | VANESSA KIM-WALKER PAQUETTE RN
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Gender | Female
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 2350 HOSPITAL DR
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City | WEBSTER CITY
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State | IA
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Zip | 50595-6600
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Country | US
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Telephone | 515-832-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 GORDON PASS
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City | FORT DODGE
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State | IA
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Zip | 50501-8728
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Country | US
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Telephone | 901-674-4699
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 173495
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License Number State | IA
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