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NPI 1962719476

NPI 1962719476 : MARGARET A. SMOLLEN, M.D, P.C. : IOWA CITY, IA

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General NPI Number Information
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    NPI Number           |    1962719476
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARGARET A. SMOLLEN, M.D, P.C. 
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Dates
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    Enumeration Date     |    09/03/2010
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    Last Update Date     |    09/03/2010
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Provider Practice Location Address
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    Address Line         |    319 E BLOOMINGTON ST 
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    City                 |    IOWA CITY
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    State                |    IA
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    Zip                  |    52245-2103
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    Country              |    US
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    Telephone            |    319-887-2229
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    319 E BLOOMINGTON ST 
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    City                 |    IOWA CITY
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    State                |    IA
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    Zip                  |    52245-2103
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    Country              |    US
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    Telephone            |    319-887-2229
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. MARGARET ALICE SMOLLEN 
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    Credential           |    MD
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    Telephone            |    319-887-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    27112
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    License Number State |    IA
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