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General NPI Number Information
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NPI Number | 1659082618
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Entity Type | Individual
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Provider Name | MONA CHAR LERDAL MSN, ARNP, AGCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 1251 334TH ST
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City | WOODWARD
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State | IA
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Zip | 50276-7509
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Country | US
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Telephone | 515-438-2600
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Fax | 515-438-3631
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Provider Business Mailing Address
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Address Line | 611 WESTWOOD BLVD
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City | BOONE
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State | IA
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Zip | 50036-7010
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Country | US
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Telephone | 515-729-3400
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | W171960
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | W171960
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | W171960
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License Number State | IA
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