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NPI 1801655642

NPI 1801655642 : DONOVAN CAUFIELD PT, DPT : IOWA CITY, IA

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General NPI Number Information
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    NPI Number           |    1801655642
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    Entity Type          |    Individual 
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    Provider Name        |    DONOVAN CAUFIELD PT, DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/14/2024
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    Last Update Date     |    02/04/2025
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Provider Practice Location Address
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    Address Line         |    314 S MADISON ST 
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    City                 |    IOWA CITY
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    State                |    IA
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    Zip                  |    52240-3841
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    Country              |    US
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    Telephone            |    319-248-0373
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    Fax                  |    319-569-8238
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Provider Business Mailing Address
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    Address Line         |    2122 YORK RD STE 300 
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    City                 |    OAK BROOK
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    State                |    IL
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    Zip                  |    60523-1925
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    Country              |    US
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    Telephone            |    630-575-1980
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    115373
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    License Number State |    IA
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