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General NPI Number Information
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NPI Number | 1598508210
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Entity Type | Individual
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Provider Name | MADISON FAITH OBMANN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/18/2024
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 515 PACIFIC AVE
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City | AUDUBON
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State | IA
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Zip | 50025-1056
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Country | US
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Telephone | 712-563-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 3939 PERKINS AVE
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City | WALL LAKE
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State | IA
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Zip | 51466-7579
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Country | US
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Telephone | 712-571-0735
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A187180
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 169133
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License Number State | IA
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