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General NPI Number Information
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NPI Number | 1144721853
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Entity Type | Organization
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Legal Business Name | IOWA SPECIALTY SURGEONS LLP
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 4949 WESTOWN PKWY STE 100
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City | WEST DES MOINES
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State | IA
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Zip | 50266-6704
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Country | US
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Telephone | 515-225-7001
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Fax | 515-440-1953
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Provider Business Mailing Address
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Address Line | 4949 WESTOWN PKWY STE 100
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City | WEST DES MOINES
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State | IA
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Zip | 50266-6704
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Country | US
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Telephone | 515-225-7001
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Fax | 515-440-1953
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Authorized Official
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Title or Position | PLASTIC SURGEON
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Name | SUZANNE MICHELE KUHNEN
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Credential | DO
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Telephone | 515-225-7001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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