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General NPI Number Information
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NPI Number | 1952362683
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Entity Type | Individual
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Provider Name | ANNETTE CHRISTINE GEARY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 3812 PHEASANT LN
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City | WATERLOO
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State | IA
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Zip | 50701-5200
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Country | US
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Telephone | 319-236-3444
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Fax | 319-236-0257
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Provider Business Mailing Address
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Address Line | 3812 PHEASANT LN
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City | WATERLOO
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State | IA
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Zip | 50701-5200
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Country | US
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Telephone | 319-236-3444
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Fax | 319-236-0257
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A104055
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License Number State | IA
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