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General NPI Number Information
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NPI Number | 1740094143
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Entity Type | Organization
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Legal Business Name | WEIGHT LOSS & WELLNESS CENTER OF IOWA, PLLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 4201 CORPORATE DR STE 100
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5906
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Country | US
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Telephone | 515-421-9355
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Fax | 515-329-6799
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Provider Business Mailing Address
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Address Line | 12808 OAK BROOK CIR
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City | URBANDALE
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State | IA
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Zip | 50323-8001
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Country | US
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Telephone | 650-521-2615
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Fax |
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Authorized Official
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Title or Position | CEO OWNER
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Name | TERESA LAMASTERS
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Credential | MD
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Telephone | 650-521-2615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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