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NPI 1568450849

NPI 1568450849 : DAVID E. NORTH M.D. : OSKALOOSA, IA

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General NPI Number Information
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    NPI Number           |    1568450849
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID E. NORTH M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/11/2005
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    Last Update Date     |    02/20/2019
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Provider Practice Location Address
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    Address Line         |    1910 CARBONADO RD 
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    City                 |    OSKALOOSA
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    State                |    IA
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    Zip                  |    52577-2424
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    Country              |    US
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    Telephone            |    641-676-3366
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    Fax                  |    641-673-3366
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Provider Business Mailing Address
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    Address Line         |    PO BOX 71602 
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    City                 |    CLIVE
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    State                |    IA
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    Zip                  |    50325-0602
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    Country              |    US
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    Telephone            |    515-243-2057
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    Fax                  |    515-244-5570
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    32784
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    License Number State |    IA
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