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General NPI Number Information
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NPI Number | 1295306520
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Entity Type | Individual
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Provider Name | COLIN JAMES SALZ PTA
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Gender | Male
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 1410 SW TRADITION DR
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City | ANKENY
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State | IA
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Zip | 50023-9188
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Country | US
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Telephone | 515-875-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 201 SE 6TH ST
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City | DES MOINES
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State | IA
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Zip | 50309-4821
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Country | US
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Telephone | 641-590-6410
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 096104
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License Number State | IA
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