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General NPI Number Information
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NPI Number | 1619057361
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Entity Type | Organization
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Legal Business Name | PULMONARY ASSOCIATES OF IOWA CITY, PC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 10/09/2018
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Provider Practice Location Address
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Address Line | 540 E JEFFERSON ST SUITE 305
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City | IOWA CITY
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State | IA
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Zip | 52245-2477
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Country | US
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Telephone | 319-887-2873
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Fax | 319-887-2870
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Provider Business Mailing Address
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Address Line | 2500 CROSSPARK RD STE W230
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City | CORALVILLE
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State | IA
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Zip | 52241-4710
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Country | US
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Telephone | 319-887-2873
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Fax | 319-887-2870
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN BRENT MOY
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Credential | MD
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Telephone | 319-887-2873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 27094
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License Number State | IA
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