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General NPI Number Information
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NPI Number | 1043120397
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Entity Type | Organization
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Legal Business Name | FAS MS IOWA PHYSICIANS PLLC
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 6165 NW 86TH ST 1ST & 2ND FLOOR
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City | JOHNSTON
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State | IA
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Zip | 50131-2240
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Country | US
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Telephone | 515-203-3218
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 607
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City | CENTERVILLE
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State | UT
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Zip | 84014-0607
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Country | US
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Telephone | 515-203-3218
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NATHAN PAYNE
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Credential | MD
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Telephone | 801-368-0512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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