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General NPI Number Information
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NPI Number | 1629888904
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Entity Type | Individual
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Provider Name | HOLLY MARIE MUELLER BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1850 ROYAL AVE
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City | SPIRIT LAKE
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State | IA
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Zip | 51360-1190
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Country | US
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Telephone | 712-336-6428
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Fax | 612-725-1098
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Provider Business Mailing Address
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Address Line | 1850 ROYAL AVE
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City | SPIRIT LAKE
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State | IA
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Zip | 51360-1190
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Country | US
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Telephone | 712-336-6428
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Fax | 612-725-1098
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 153750
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License Number State | IA
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