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General NPI Number Information
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NPI Number | 1184061798
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Entity Type | Organization
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Legal Business Name | VASCULAR CARE PC
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Dates
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Enumeration Date | 05/23/2013
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Last Update Date | 05/23/2013
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Provider Practice Location Address
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Address Line | 1306 4TH ST SW
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City | MASON CITY
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State | IA
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Zip | 50401-2742
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Country | US
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Telephone | 800-955-8346
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Fax | 888-803-4893
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Provider Business Mailing Address
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Address Line | 1306 4TH ST SW
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City | MASON CITY
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State | IA
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Zip | 50401-2742
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Country | US
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Telephone | 800-955-8346
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Fax | 888-803-4893
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAN LEE MOREHOUSE
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Credential | MD
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Telephone | 641-231-1471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 32722
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License Number State | IA
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