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General NPI Number Information
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NPI Number | 1194898296
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Entity Type | Organization
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Legal Business Name | BLUFFS FAMILY HEALTH CARE PC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 3434 W BROADWAY
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-3291
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Country | US
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Telephone | 712-325-0022
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Fax | 712-325-8102
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Provider Business Mailing Address
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Address Line | 3434 W BROADWAY
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-3291
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Country | US
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Telephone | 712-325-0022
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Fax | 712-325-8102
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MOLLY RANKIN
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Credential |
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Telephone | 712-325-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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