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General NPI Number Information
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NPI Number | 1336330943
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Entity Type | Organization
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Legal Business Name | STATE UNIVERSITY OF IOWA
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 50 NEWTON ROAD 101 CNB
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City | IOWA CITY
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State | IA
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Zip | 52242-1121
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Country | US
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Telephone | 319-248-1267
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Fax | 888-674-8344
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Provider Business Mailing Address
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Address Line | 50 NEWTON ROAD 101 CNB
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City | IOWA CITY
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State | IA
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Zip | 52242-1121
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Country | US
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Telephone | 319-248-1267
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Fax | 888-674-8344
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANDREA P. GREATHOUSE
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Credential | RHIT
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Telephone | 319-248-1267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State | IA
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