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General NPI Number Information
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NPI Number | 1639691322
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Entity Type | Individual
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Provider Name | ASHLEY LYNN POLLEMA ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 631 E FRONTAGE RD
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City | MOVILLE
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State | IA
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Zip | 51039-8211
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Country | US
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Telephone | 712-873-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 127 3RD AVE SE
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City | LE MARS
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State | IA
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Zip | 51031-3625
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Country | US
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Telephone |
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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 | A114679
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License Number State | IA
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