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General NPI Number Information
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NPI Number | 1700088697
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Entity Type | Individual
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Provider Name | JULIE MARIE FLEENER PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/03/2007
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 1215 DUFF AVE
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City | AMES
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State | IA
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Zip | 50010-5469
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Country | US
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Telephone | 515-239-4475
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Fax | 515-239-4722
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Provider Business Mailing Address
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Address Line | 634 GREENE ST
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City | SLATER
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State | IA
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Zip | 50244-9703
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Country | US
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Telephone | 515-480-1874
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 074631
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License Number State | IA
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