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General NPI Number Information
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NPI Number | 1215146279
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Entity Type | Organization
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Legal Business Name | SIEBERT & ASSOCIATES OF IOWA, LLC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3554 DOLPHIN DR SE UNIT A
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City | IOWA CITY
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State | IA
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Zip | 52240-8083
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Country | US
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Telephone | 319-351-3159
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Fax | 319-337-2536
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Provider Business Mailing Address
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Address Line | 3554 DOLPHIN DR SE UNIT A
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City | IOWA CITY
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State | IA
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Zip | 52240-8083
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Country | US
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Telephone | 319-351-3159
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Fax | 319-337-2536
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Authorized Official
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Title or Position | MANAGER
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Name | MR. RODNEY P. SIEBERT
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Credential |
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Telephone | 319-351-3159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WV0202X
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Taxonomy Name | Vehicle Modifications Contractor
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License Number |
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License Number State |
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