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NPI 1295634764

NPI 1295634764 : IOWA CITY OPCO LLC : IOWA CITY, IA

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General NPI Number Information
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    NPI Number           |    1295634764
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    Entity Type          |    Organization 
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    Legal Business Name  |    IOWA CITY OPCO LLC 
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Dates
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    Enumeration Date     |    11/02/2026
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    Last Update Date     |    11/02/2026
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Provider Practice Location Address
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    Address Line         |    3661 ROCHESTER AVE 
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    City                 |    IOWA CITY
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    State                |    IA
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    Zip                  |    52245-9271
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    Country              |    US
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    Telephone            |    319-351-7460
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3661 ROCHESTER AVE 
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    City                 |    IOWA CITY
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    State                |    IA
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    Zip                  |    52245-9271
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PARTNER
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    Name                 |     NATHAN  GOLDBERG 
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    Credential           |    
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    Telephone            |    443-208-1826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    
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    License Number State |    
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