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General NPI Number Information
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NPI Number | 1831502319
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Entity Type | Organization
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Legal Business Name | IOWA CITY PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 2220 MORMON TREK BLVD
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City | IOWA CITY
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State | IA
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Zip | 52246-4435
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Country | US
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Telephone | 319-339-4278
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Fax | 319-339-9808
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Provider Business Mailing Address
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Address Line | 2220 MORMON TREK BLVD
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City | IOWA CITY
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State | IA
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Zip | 52246-4435
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Country | US
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Telephone | 319-339-4278
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Fax | 319-339-9808
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Authorized Official
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Title or Position | OWNER
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Name | STEVE D CLARK
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Credential | MPT
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Telephone | 319-339-4278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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