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General NPI Number Information
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NPI Number | 1831988104
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Entity Type | Organization
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Legal Business Name | SOARING ARROWS
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Dates
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Enumeration Date | 05/03/2025
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 1843 ZACHARY AVE
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City | BLUE GRASS
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State | IA
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Zip | 52726-9406
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Country | US
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Telephone | 563-210-0812
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Fax |
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Provider Business Mailing Address
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Address Line | 1843 ZACHARY AVE
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City | BLUE GRASS
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State | IA
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Zip | 52726-9406
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Country | US
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Telephone | 563-210-0812
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY SCHADT
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Credential | ARNP
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Telephone | 563-210-0812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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