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General NPI Number Information
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NPI Number | 1932380334
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE OF CEDAR VALLEY, PC
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 4719 ANSBOROUGH AVE
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City | WATERLOO
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State | IA
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Zip | 50701-9039
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Country | US
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Telephone | 319-230-4959
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Fax | 319-449-3048
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Provider Business Mailing Address
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Address Line | 4719 ANSBOROUGH AVE
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City | WATERLOO
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State | IA
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Zip | 50701-9039
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Country | US
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Telephone | 319-230-4959
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Fax | 319-449-3048
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DARRON PAUL CUTLER
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Credential | D.O.
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Telephone | 319-266-2888
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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 | 03057
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License Number State | IA
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