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NPI 1730387473

NPI 1730387473 : TROY LEE HOUNSHELL D.O. : WEST DES MOINES, IA

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General NPI Number Information
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    NPI Number           |    1730387473
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    Entity Type          |    Individual 
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    Provider Name        |    TROY LEE HOUNSHELL D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/03/2007
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    Last Update Date     |    06/14/2020
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Provider Practice Location Address
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    Address Line         |    5880 UNIVERSITY AVE STE 112 
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    City                 |    WEST DES MOINES
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    State                |    IA
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    Zip                  |    50266-8209
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    Country              |    US
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    Telephone            |    515-633-3653
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    Fax                  |    515-280-4630
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Provider Business Mailing Address
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    Address Line         |    PO BOX 9170 
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    City                 |    DES MOINES
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    State                |    IA
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    Zip                  |    50306-9170
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    Country              |    US
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    Telephone            |    515-633-3600
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    Fax                  |    515-633-3838
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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        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    16413
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    License Number State |    NH
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    DO-04751
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    License Number State |    IA
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