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General NPI Number Information
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NPI Number | 1952331605
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Entity Type | Organization
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Legal Business Name | KIMBERLY K. SCHULZ
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 1100 6TH ST SUITE 202
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City | CORALVILLE
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State | IA
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Zip | 52241-1755
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Country | US
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Telephone | 319-337-4566
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 6TH ST SUITE 202
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City | CORALVILLE
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State | IA
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Zip | 52241-1755
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Country | US
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Telephone | 319-337-4566
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. ROBIN ANN CHRISTIANSON
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Credential |
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Telephone | 319-337-4566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 31541
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001292
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 32786
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License Number State | IA
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