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General NPI Number Information
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NPI Number | 1730514415
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Entity Type | Individual
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Provider Name | ANNA SHUDZEKA PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 2435 KIMBERLY RD STE 270
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City | BETTENDORF
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State | IA
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Zip | 52722-3509
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Country | US
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Telephone | 563-219-7700
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Fax | 563-396-2060
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Provider Business Mailing Address
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Address Line | 6070 WOODBRIDGE CRST
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City | MARION
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State | IA
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Zip | 52302-9551
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Country | US
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Telephone | 815-570-9701
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G178713
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License Number State | IA
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