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General NPI Number Information
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NPI Number | 1376454587
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Entity Type | Individual
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Provider Name | LIBBY A FELTON PTA
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 1129 11TH ST SE STE A
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City | DYERSVILLE
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State | IA
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Zip | 52040-2418
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Country | US
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Telephone | 563-875-8615
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Fax |
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Provider Business Mailing Address
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Address Line | 24502 63RD AVE
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City | CASCADE
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State | IA
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Zip | 52033-7000
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Country | US
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Telephone | 563-231-1428
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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 | 139414
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License Number State | IA
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