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NPI 1821297185

NPI 1821297185 : BRETT JEFFREY REIMER DO : ANKENY, IA

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General NPI Number Information
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    NPI Number           |    1821297185
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    Entity Type          |    Individual 
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    Provider Name        |    BRETT JEFFREY REIMER DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/16/2007
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    Last Update Date     |    02/27/2015
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Provider Practice Location Address
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    Address Line         |    1105 N ANKENY BLVD STE 100 
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    City                 |    ANKENY
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    State                |    IA
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    Zip                  |    50023-4003
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    Country              |    US
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    Telephone            |    515-964-4600
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    Fax                  |    515-963-4142
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Provider Business Mailing Address
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    Address Line         |    1105 N ANKENY BLVD STE 100 
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    City                 |    ANKENY
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    State                |    IA
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    Zip                  |    50023-4003
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    Country              |    US
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    Telephone            |    515-964-4600
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    Fax                  |    515-963-4142
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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       |    DO-03822
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    License Number State |    IA
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