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General NPI Number Information
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NPI Number | 1659414936
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Entity Type | Organization
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Legal Business Name | DUBUQUE NEUROLOGY & NEURODIAGNOSTIC CENTER, P.C.
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3405 LAKE RIDGE DR
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City | DUBUQUE
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State | IA
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Zip | 52003-7800
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Country | US
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Telephone | 563-583-4000
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Fax | 563-557-1016
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Provider Business Mailing Address
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Address Line | 3405 LAKE RIDGE DR
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City | DUBUQUE
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State | IA
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Zip | 52003-7800
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Country | US
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Telephone | 563-583-4000
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Fax | 563-557-1016
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK RAY STERRETT
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Credential | M.D., PH.D.
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Telephone | 563-583-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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