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General NPI Number Information
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NPI Number | 1982566915
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Entity Type | Individual
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Provider Name | ANDREA LYNN KORANDA RN
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Gender | Female
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 1410 S 1ST AVE
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City | IOWA CITY
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State | IA
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Zip | 52240-6038
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Country | US
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Telephone | 319-351-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 129 JACOB CT NW
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City | CEDAR RAPIDS
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State | IA
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Zip | 52405-4683
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 102607
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License Number State | IA
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