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General NPI Number Information
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NPI Number | 1982699658
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Entity Type | Individual
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Provider Name | JO ELLEN CROWE ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 200 HAWKINS DR
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City | IOWA CITY
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State | IA
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Zip | 52242-1009
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Country | US
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Telephone | 319-356-2251
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Fax | 319-384-8843
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Provider Business Mailing Address
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Address Line | 200 HAWKINS DR
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City | IOWA CITY
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State | IA
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Zip | 52242-1009
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Country | US
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Telephone | 319-356-2251
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Fax | 319-384-8843
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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 | C048985
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 19990513
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License Number State | IA
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