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General NPI Number Information
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NPI Number | 1982696688
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Entity Type | Individual
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Provider Name | JOSE SEBASTIAN FIGUEROA D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 3200 GRAND AVE
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City | DES MOINES
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State | IA
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Zip | 50312-4104
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Country | US
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Telephone | 515-271-1722
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Fax | 515-271-1697
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Provider Business Mailing Address
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Address Line | 3200 GRAND AVE
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City | DES MOINES
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State | IA
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Zip | 50312-4104
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Country | US
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Telephone | 515-271-1722
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Fax | 515-271-1539
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 03436
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License Number State | IA
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