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General NPI Number Information
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NPI Number | 1689215923
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Entity Type | Individual
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Provider Name | CLARE MACDONALD
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Gender | Female
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 503 3RD ST
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City | KALONA
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State | IA
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Zip | 52247-9526
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Country | US
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Telephone | 319-656-3151
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Fax |
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Provider Business Mailing Address
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Address Line | 503 3RD ST
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City | KALONA
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State | IA
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Zip | 52247-9526
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Country | US
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Telephone | 319-656-3151
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.1655283
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 157009
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0995075-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A157009
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License Number State | IA
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