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General NPI Number Information
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NPI Number | 1174456487
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Entity Type | Individual
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Provider Name | TRISTAN VOELKER OD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 202 S MAIN ST
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City | ELKADER
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State | IA
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Zip | 52043-9078
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Country | US
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Telephone | 563-245-2304
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Fax |
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Provider Business Mailing Address
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Address Line | 819 9TH ST SE STE B
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City | DYERSVILLE
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State | IA
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Zip | 52040-2325
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Country | US
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Telephone | 563-875-0006
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 139039
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License Number State | IA
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