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General NPI Number Information
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NPI Number | 1700409828
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Entity Type | Individual
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Provider Name | DEMI LOUISE O'BRIEN MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 288 PUBLIC SQ
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City | GREENFIELD
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State | IA
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Zip | 50849-1264
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Country | US
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Telephone | 641-743-6529
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Fax | 641-743-8223
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Provider Business Mailing Address
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Address Line | 288 PUBLIC SQ
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City | GREENFIELD
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State | IA
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Zip | 50849-1264
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Country | US
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Telephone | 641-743-6529
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Fax | 641-743-8223
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD-50804
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License Number State | IA
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