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General NPI Number Information
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NPI Number | 1881337301
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Entity Type | Individual
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Provider Name | KATIE LYNNE DUNN WHNP
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Gender | Female
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 330 LAUREL ST
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City | DES MOINES
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State | IA
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Zip | 50314-3034
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Country | US
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Telephone | 515-288-3287
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Fax |
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Provider Business Mailing Address
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Address Line | 155 MEMORIAL DR
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City | PINEHURST
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State | NC
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Zip | 28374-8710
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 328537
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F178895
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License Number State | IA
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