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General NPI Number Information
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NPI Number | 1912189176
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Entity Type | Organization
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Legal Business Name | MARIA CONLEY D C P C
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 1486 S 1ST AVE STE B
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City | IOWA CITY
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State | IA
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Zip | 52240-6072
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Country | US
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Telephone | 319-337-7271
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Fax | 319-887-2503
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Provider Business Mailing Address
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Address Line | 1486 S 1ST AVE STE B
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City | IOWA CITY
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State | IA
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Zip | 52240-6072
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Country | US
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Telephone | 319-337-7271
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Fax | 319-887-2503
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Authorized Official
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Title or Position | OWNER
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Name | MARIA CONLEY
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Credential | D.C.
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Telephone | 319-337-7271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | AO5569
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License Number State | IA
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