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General NPI Number Information
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NPI Number | 1598325698
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Entity Type | Organization
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Legal Business Name | A BEAUTIFUL MIND, INC
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 07/31/2019
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Provider Practice Location Address
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Address Line | 805 CENTURY DR STE 5
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City | DUBUQUE
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State | IA
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Zip | 52002-3771
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Country | US
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Telephone | 563-599-6991
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Fax |
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Provider Business Mailing Address
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Address Line | 805 CENTURY DR STE 5
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City | DUBUQUE
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State | IA
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Zip | 52002-3771
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Country | US
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Telephone | 563-599-6991
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. EARLENE M ANGELL
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Credential | ARNP
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Telephone | 563-538-0550
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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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