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General NPI Number Information
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NPI Number | 1013848837
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Entity Type | Individual
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Provider Name | JAIDA LAIN HOUGE
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Gender | Female
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Dates
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Enumeration Date | 05/28/2026
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Last Update Date | 05/28/2026
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Provider Practice Location Address
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Address Line | 1011 OFFICE PARK RD STE 4
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City | WEST DES MOINES
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State | IA
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Zip | 50265-2550
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Country | US
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Telephone | 515-882-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 7296 30TH ST
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City | AURORA
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State | IA
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Zip | 50607-9646
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Country | US
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Telephone | 319-283-8634
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 136245
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License Number State | IA
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