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General NPI Number Information
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NPI Number | 1720003122
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Entity Type | Individual
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Provider Name | JODY MARIE HARMSEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 08/08/2020
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Provider Practice Location Address
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Address Line | 308 N MAPLE AVE
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City | NEW HAMPTON
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State | IA
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Zip | 50659-1142
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Country | US
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Telephone | 641-394-4121
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 CHAMBERLAIN DR
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City | IOWA CITY
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State | IA
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Zip | 52240-2936
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 47848
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35223
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License Number State | IA
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