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General NPI Number Information
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NPI Number | 1073184339
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Entity Type | Organization
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Legal Business Name | SEMROW FAMILY VISION, PC
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 1304 NW 25TH ST
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City | ANKENY
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State | IA
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Zip | 50023-7836
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Country | US
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Telephone | 515-965-0909
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Fax |
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Provider Business Mailing Address
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Address Line | 2409 SE DELAWARE AVE STE 104
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City | ANKENY
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State | IA
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Zip | 50021-4568
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICER / OWNER
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Name | KRISTIE SEMROW
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Credential | OD
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Telephone | 515-965-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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