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General NPI Number Information
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NPI Number | 1689092132
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Entity Type | Individual
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Provider Name | ALYSSA RYANNE GODDARD VERHEYEN FNP
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 3731 IRISH DR
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City | MARION
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State | IA
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Zip | 52302-6638
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Country | US
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Telephone | 319-206-7370
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Fax | 319-206-7380
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Provider Business Mailing Address
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Address Line | 3731 IRISH DR
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City | MARION
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State | IA
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Zip | 52302-6638
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Country | US
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Telephone | 319-206-7370
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Fax | 319-206-7380
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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 | A151081
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License Number State | IA
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