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NPI 1477292977

NPI 1477292977 : DANI ANDERSON PT : DES MOINES, IA

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General NPI Number Information
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    NPI Number           |    1477292977
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    Entity Type          |    Individual 
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    Provider Name        |    DANI ANDERSON PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/02/2022
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    Last Update Date     |    10/18/2024
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Provider Practice Location Address
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    Address Line         |    1301 PENNSYLVANIA AVE STE 213 
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    City                 |    DES MOINES
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    State                |    IA
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    Zip                  |    50316-2365
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    Country              |    US
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    Telephone            |    515-224-1414
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    Fax                  |    515-224-1414
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Provider Business Mailing Address
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    Address Line         |    6664 HIGHWAY 28 
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    City                 |    NORWALK
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    State                |    IA
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    Zip                  |    50211-9027
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    Country              |    US
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    Telephone            |    515-724-3041
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    111795
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    License Number State |    IA
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