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General NPI Number Information
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NPI Number | 1639060114
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Entity Type | Organization
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Legal Business Name | NICOLE FERRISS, LLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1680 SW ANKENY RD STE 1A
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City | ANKENY
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State | IA
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Zip | 50023-8270
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Country | US
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Telephone | 515-402-5434
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Fax |
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Provider Business Mailing Address
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Address Line | 4111 SW ELM CT
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City | ANKENY
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State | IA
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Zip | 50023-8237
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Country | US
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Telephone | 515-402-5434
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Fax | 515-402-5434
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Authorized Official
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Title or Position | THERAPIST
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Name | NICOLE FERRISS
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Credential | LISW
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Telephone | 515-402-5434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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