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General NPI Number Information
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NPI Number | 1962723676
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Entity Type | Individual
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Provider Name | FREDERICK KEITH HOUWEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 200 HAWKINS DRIVE C123 GENERAL HOSPITAL UNIVERSITY OF IOWA HOSPITAL AND C
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City | IOWA CITY
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State | IA
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Zip | 52242
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Country | US
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Telephone | 319-356-2256
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Fax |
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Provider Business Mailing Address
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Address Line | 415 LOCUST DR
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-7802
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Country | US
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Telephone | 319-594-9333
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | R8904
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License Number State | IA
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