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General NPI Number Information
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NPI Number | 1548209349
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Entity Type | Individual
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Provider Name | JENNIFER A. HANDLOS PT
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 511 N MAIN ST
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City | CARROLL
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State | IA
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Zip | 51401-2739
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Country | US
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Telephone | 712-792-0040
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Fax | 712-215-7393
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Provider Business Mailing Address
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Address Line | 1352 N U.S. 71
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City | CARROLL
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State | IA
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Zip | 51401
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Country | US
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Telephone | 712-792-0040
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Fax | 712-215-7393
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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 | 02754
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License Number State | IA
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