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General NPI Number Information
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NPI Number | 1578189296
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Entity Type | Organization
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Legal Business Name | LINDA BRATKIEWICZ PODIATRY PLLC
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Dates
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Enumeration Date | 06/18/2020
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 1301 PENNSYLVANIA AVE STE 115
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City | DES MOINES
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State | IA
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Zip | 50316-2364
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Country | US
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Telephone | 515-263-2474
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Fax | 515-263-2478
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Provider Business Mailing Address
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Address Line | 1301 PENNSYLVANIA AVE STE 115
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City | DES MOINES
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State | IA
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Zip | 50316-2364
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Country | US
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Telephone | 515-263-2474
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Fax | 515-263-2478
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | MS. DEBBY L SONNER
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Credential | CMA, RT(R)
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Telephone | 515-263-2474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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