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General NPI Number Information
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NPI Number | 1801890611
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Entity Type | Individual
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Provider Name | DEBORAH HUBER ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 06/18/2010
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Provider Practice Location Address
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Address Line | 1601 NW 114TH ST STE 342
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City | CLIVE
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State | IA
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Zip | 50325-7036
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Country | US
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Telephone | 515-223-4823
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Fax | 515-223-0482
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Provider Business Mailing Address
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Address Line | PO BOX 1475
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City | DES MOINES
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State | IA
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Zip | 50305-1475
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Country | US
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Telephone | 515-223-4823
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Fax | 515-223-0482
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | A075571
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License Number State | IA
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