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General NPI Number Information
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NPI Number | 1497822795
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF NORTHERN IOWA
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 1227 W 27TH ST
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City | CEDAR FALLS
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State | IA
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Zip | 50614-0221
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Country | US
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Telephone | 319-273-2009
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Fax | 319-273-7030
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Provider Business Mailing Address
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Address Line | 1227 W 27TH ST
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City | CEDAR FALLS
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State | IA
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Zip | 50614-0221
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Country | US
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Telephone | 319-273-2009
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Fax | 319-273-7030
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Authorized Official
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Title or Position | ADMINISTRATIVE SPECIALIST
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Name | CONNIE L POTTER
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Credential |
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Telephone | 319-273-7736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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