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NPI Code Detail

MEDICARE: CAROLINE PIPER PA

MEDICARE: CAROLINE PIPER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085012076IL

General Provider Information

NPI Number : 1568210011
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE PIPER PA
Provider Business Mailing Address
First Line : 1320 W LOMBARD ST
Second Line :
City : DAVENPORT
State : IA
Zip : 52804-2029
Country : US
Telephone Number : 563-333-5827
Fax Number :
Provider Business Practice Location Address
First Line : 1320 W LOMBARD ST
Second Line :
City : DAVENPORT
State : IA
Zip : 52804-2029
Country : US
Telephone Number : 563-333-5827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2024
Last Update Date : 03/04/2026

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Directions to “ CAROLINE PIPER PA” Practice Location

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