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General NPI Number Information
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NPI Number | 1699241240
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Entity Type | Organization
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Legal Business Name | CNR DEVELOPMENT, LLC
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 404 JEFFERSON ST
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City | PELLA
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State | IA
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Zip | 50219-1257
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Country | US
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Telephone | 515-207-9358
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Fax | 515-207-9370
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Provider Business Mailing Address
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Address Line | 2814 NW 28TH ST
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City | ANKENY
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State | IA
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Zip | 50023-1589
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Country | US
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Telephone | 515-783-6679
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Fax | 515-644-7110
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Authorized Official
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Title or Position | OWNER
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Name | CHAD MICHAEL STOCKER
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Credential |
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Telephone | 515-783-6679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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