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General NPI Number Information
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NPI Number | 1538605332
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Entity Type | Individual
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Provider Name | COURTNEY LINN KAUTZ D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 126 1/2 S CODY RD
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City | LE CLAIRE
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State | IA
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Zip | 52753-9236
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Country | US
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Telephone | 563-289-3242
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Fax | 563-289-4541
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Provider Business Mailing Address
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Address Line | PO BOX 423
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City | LE CLAIRE
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State | IA
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Zip | 52753-0423
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Country | US
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Telephone | 563-349-7738
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 085037
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License Number State | IA
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