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General NPI Number Information
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NPI Number | 1891763538
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Entity Type | Individual
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Provider Name | AMBER J BLASS DPT
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Gender | Female
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 5921 SE 14TH ST SUITE 2000
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City | DES MOINES
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State | IA
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Zip | 50320-1746
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Country | US
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Telephone | 515-953-0024
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Fax | 515-953-0257
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Provider Business Mailing Address
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Address Line | 1903 SW 19TH ST
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City | ANKENY
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State | IA
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Zip | 50023-7052
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Country | US
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Telephone | 319-541-2066
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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 | 3768
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License Number State | IA
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