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General NPI Number Information
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NPI Number | 1063205649
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Entity Type | Organization
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Legal Business Name | JWDR DIALYSIS, PLLC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 107 S 11TH ST STE 2
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City | MANCHESTER
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State | IA
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Zip | 52057-2245
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Country | US
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Telephone | 608-778-5345
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 DELHI ST STE 2100
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City | DUBUQUE
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State | IA
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Zip | 52001-6319
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Country | US
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Telephone | 608-778-5345
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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. DAVID M. RINGOLD
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Credential | MD
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Telephone | 563-663-7780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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