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General NPI Number Information
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NPI Number | 1396503892
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Entity Type | Organization
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Legal Business Name | ASC IOWA LLC
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 7177 HICKMAN RD STE 9
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City | URBANDALE
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State | IA
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Zip | 50322-4844
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Country | US
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Telephone | 515-303-3559
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Fax | 515-644-2223
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Provider Business Mailing Address
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Address Line | 7177 HICKMAN RD STE 9
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City | URBANDALE
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State | IA
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Zip | 50322-4844
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Country | US
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Telephone | 515-303-3559
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Fax | 515-644-2223
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | ERIC BRIAN LISKER
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Credential |
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Telephone | 949-403-8451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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