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General NPI Number Information
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NPI Number | 1861610040
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Entity Type | Individual
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Provider Name | DEBORAH LYNN JESSEN RPH
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1801 HICKMAN RD
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City | DES MOINES
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State | IA
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Zip | 50314-1548
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Country | US
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Telephone | 515-282-2678
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Fax |
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Provider Business Mailing Address
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Address Line | 931 BRIAR RDG
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City | WEST DES MOINES
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State | IA
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Zip | 50265-5784
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Country | US
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Telephone | 515-440-0433
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15431
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 15431
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License Number State | IA
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