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General NPI Number Information
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NPI Number | 1356866164
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Entity Type | Organization
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Legal Business Name | REFINEHEALTH LLC
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7020 DOUGLAS AVE STE J
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City | URBANDALE
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State | IA
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Zip | 50322-3261
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Country | US
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Telephone | 515-721-8467
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Fax |
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Provider Business Mailing Address
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Address Line | 7020 DOUGLAS AVE STE J
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City | URBANDALE
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State | IA
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Zip | 50322-3261
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Country | US
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Telephone | 515-721-8467
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Fax |
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Authorized Official
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Title or Position | CLINIC OWNER
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Name | DR. NATHAN LUTHER LESTER
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Credential | DC
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Telephone | 515-721-8467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 007044
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License Number State | IA
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