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General NPI Number Information
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NPI Number | 1659208148
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Entity Type | Organization
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Legal Business Name | IOWA ORTHOPAEDIC CENTER, P.C.
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 2425 GRAND PRAIRIE PKWY
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City | WAUKEE
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State | IA
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Zip | 68103-0728
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Country | US
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Telephone | 515-247-8400
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Fax | 515-248-8888
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Provider Business Mailing Address
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Address Line | 2425 GRAND PRAIRIE PKWY
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City | WAUKEE
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State | IA
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Zip | 50263-8994
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Country | US
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Telephone | 515-247-8400
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Fax | 515-248-8888
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | TIARA JOHNSON
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Credential |
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Telephone | 515-518-1633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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