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General NPI Number Information
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NPI Number | 1942011713
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Entity Type | Individual
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Provider Name | VIVIAN MLANGNON DOWAH RN-BSN
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 5480 LONGVIEW CT UNIT 4
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City | JOHNSTON
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State | IA
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Zip | 50131-2726
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Country | US
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Telephone | 815-507-6811
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Fax |
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Provider Business Mailing Address
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Address Line | 5480 LONGVIEW CT UNIT 4
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City | JOHNSTON
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State | IA
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Zip | 50131-2726
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Country | US
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Telephone | 815-507-6811
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 170821
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 170821
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 170821
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 170821
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 163WR0400X
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Taxonomy Name | Rehabilitation Registered Nurse
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License Number | 170821
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License Number State | IA
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Taxonomy #6
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 170821
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License Number State | IA
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Taxonomy #7
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 170821
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License Number State | IA
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