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General NPI Number Information
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NPI Number | 1821472556
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Entity Type | Individual
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Provider Name | ANGELA DEVRIES ARNP NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 2712 ORCHARD DRIVE SUITE B
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City | CEDAR FALLS
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State | IA
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Zip | 50613-6100
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Country | US
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Telephone | 319-404-2262
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Fax |
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Provider Business Mailing Address
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Address Line | 2712 ORCHARD DRIVE SUITE B
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City | CEDAR FALLS
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State | IA
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Zip | 50613-6100
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Country | US
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Telephone | 319-242-6871
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Fax | 319-242-6881
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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 | A107977
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License Number State | IA
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