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General NPI Number Information
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NPI Number | 1700653615
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Entity Type | Individual
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Provider Name | KYLEE LOFTUS MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 1300 E 19TH ST
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City | ATLANTIC
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State | IA
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Zip | 50022-2887
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Country | US
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Telephone | 855-501-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 1177 HIGHWAY 183
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City | PISGAH
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State | IA
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Zip | 51564-4005
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A177023
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License Number State | IA
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