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General NPI Number Information
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NPI Number | 1942658455
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Entity Type | Individual
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Provider Name | MATTHEW AARON HOUCK O.D.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 1614 SYCAMORE ST
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City | IOWA CITY
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State | IA
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Zip | 52240-6044
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Country | US
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Telephone | 319-337-3737
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Fax |
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Provider Business Mailing Address
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Address Line | 172 HAWKEYE CT APT 211
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City | IOWA CITY
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State | IA
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Zip | 52246-2859
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Country | US
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Telephone | 765-714-0636
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 082831
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License Number State | IA
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