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NPI 1598959371

NPI 1598959371 : WAVERLY HEALTH CENTER : WAVERLY, IA

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General NPI Number Information
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    NPI Number           |    1598959371
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    Entity Type          |    Organization 
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    Legal Business Name  |    WAVERLY HEALTH CENTER 
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Dates
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    Enumeration Date     |    09/05/2007
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    Last Update Date     |    06/05/2024
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Provider Practice Location Address
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    Address Line         |    312 9TH ST SW 
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    City                 |    WAVERLY
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    State                |    IA
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    Zip                  |    50677-2929
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    Country              |    US
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    Telephone            |    319-352-4120
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    Fax                  |    319-352-3992
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Provider Business Mailing Address
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    Address Line         |    312 9TH ST SW 
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    City                 |    WAVERLY
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    State                |    IA
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    Zip                  |    50677-2929
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    Country              |    US
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    Telephone            |    319-352-4120
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    Fax                  |    319-352-3992
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. JODI M GEERTS 
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    Credential           |    
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    Telephone            |    319-352-4120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    
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    License Number State |    IA
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    
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    License Number State |    IA
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    IA
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Taxonomy #5
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    IA
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Taxonomy #6
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    IA
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Taxonomy #7
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    Taxonomy Code        |    363LX0001X
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    Taxonomy Name        |    Obstetrics & Gynecology Nurse Practitioner
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    License Number       |    
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    License Number State |    IA
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Taxonomy #8
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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 |    IA
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