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General NPI Number Information
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NPI Number | 1962841965
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Entity Type | Individual
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Provider Name | LEE CARLSON ARNP-C
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Gender | Male
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Dates
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Enumeration Date | 06/23/2013
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 920 S OAK ST STE 1
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City | IOWA FALLS
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State | IA
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Zip | 50126-9506
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Country | US
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Telephone | 641-648-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 10TH AVE
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City | ACKLEY
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State | IA
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Zip | 50601-1701
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Country | US
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Telephone | 641-847-2625
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Fax | 641-847-2509
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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 | A118681
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A118681
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License Number State | IA
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