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NPI 1679619795

NPI 1679619795 : MICHELE ANN BJORN ARNP : CLARINDA, IA

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General NPI Number Information
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    NPI Number           |    1679619795
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELE ANN BJORN ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/29/2007
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    Last Update Date     |    05/08/2014
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Provider Practice Location Address
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    Address Line         |    220 ESSIE DAVISON DR 
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    City                 |    CLARINDA
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    State                |    IA
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    Zip                  |    51632-2915
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    Country              |    US
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    Telephone            |    712-542-8330
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    Fax                  |    712-542-3373
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Provider Business Mailing Address
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    Address Line         |    PO BOX 217 
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    City                 |    CLARINDA
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    State                |    IA
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    Zip                  |    51632-2625
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    Country              |    US
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    Telephone            |    712-542-2176
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    Fax                  |    712-542-3373
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    A092312
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    License Number State |    IA
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