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General NPI Number Information
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NPI Number | 1770349318
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Entity Type | Individual
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Provider Name | KAYLA ELIZABETH RUEHS ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 2515 CYCLONE DR STE B
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City | WATERLOO
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State | IA
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Zip | 50701-9715
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Country | US
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Telephone | 319-888-8044
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Fax | 319-349-8402
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Provider Business Mailing Address
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Address Line | 606 3RD ST SE
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City | TRIPOLI
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State | IA
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Zip | 50676-9564
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Country | US
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Telephone | 319-231-4211
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A178229
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A178229
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License Number State | IA
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