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NPI 1316146970

NPI 1316146970 : PATRICK CASEY HILL PT : ANKENY, IA

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General NPI Number Information
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    NPI Number           |    1316146970
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICK CASEY HILL PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/13/2007
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    Last Update Date     |    04/02/2014
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Provider Practice Location Address
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    Address Line         |    3222 SW TOWNPARK CIR 
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    City                 |    ANKENY
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    State                |    IA
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    Zip                  |    50023-8976
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    Country              |    US
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    Telephone            |    319-404-8713
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    Fax                  |    515-289-1477
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Provider Business Mailing Address
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    Address Line         |    2213 GRAND AVE 
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    City                 |    DES MOINES
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    State                |    IA
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    Zip                  |    50312-5305
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    Country              |    US
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    Telephone            |    515-237-3974
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    Fax                  |    515-883-2692
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    004091
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    License Number State |    IA
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