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General NPI Number Information
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NPI Number | 1619220084
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Entity Type | Organization
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Legal Business Name | MARCIA A ALFF DC PC
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Dates
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Enumeration Date | 10/22/2012
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Last Update Date | 10/22/2012
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Provider Practice Location Address
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Address Line | 170 S ELM ST
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City | AVOCA
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State | IA
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Zip | 51521-4003
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Country | US
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Telephone | 712-343-6394
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Fax | 712-343-5404
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Provider Business Mailing Address
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Address Line | 170 S ELM ST POBOX 327
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City | AVOCA
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State | IA
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Zip | 51521-4003
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Country | US
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Telephone | 712-343-6394
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Fax | 712-343-5404
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Authorized Official
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Title or Position | D.C.
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Name | DR. MARCIA ANN ALFF
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Credential | D.C.
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Telephone | 712-343-6394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A5197
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License Number State | IA
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