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General NPI Number Information
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NPI Number | 1922258474
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Entity Type | Individual
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Provider Name | DENNIS LEE ANDERSON D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2008
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Last Update Date | 03/08/2026
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Provider Practice Location Address
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Address Line | 5221 VILLAGE RUN AVE UNIT 1602
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City | DES MOINES
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State | IA
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Zip | 50317-4979
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Country | US
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Telephone | 515-266-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 5221 VILLAGE RUN AVE UNIT 1602
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City | DES MOINES
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State | IA
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Zip | 50317-4979
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Country | US
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Telephone | 515-266-1992
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01468
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License Number State | IA
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