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General NPI Number Information
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NPI Number | 1265222814
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Entity Type | Individual
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Provider Name | GEOVANNE P MAURO MD
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Gender | Male
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1351 KIMBERLY RD STE 200
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City | BETTENDORF
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State | IA
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Zip | 52722-4167
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Country | US
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Telephone | 563-441-1998
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Fax | 563-441-1729
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Provider Business Mailing Address
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Address Line | 200 HAWKINS DR
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City | IOWA CITY
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State | IA
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Zip | 52242-1009
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Country | US
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Telephone | 563-396-6774
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Fax | 563-441-1729
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | SP-0310
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License Number State | IA
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