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NPI Code Detail

MEDICARE: MIRIAM MORAVEC

MEDICARE: MIRIAM MORAVEC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianIA

General Provider Information

NPI Number : 1760335822
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIAM MORAVEC
Provider Business Mailing Address
First Line : 2508 CANTERBURY RD APT 184
Second Line :
City : URBANDALE
State : IA
Zip : 50322-4668
Country : US
Telephone Number : 515-835-5006
Fax Number :
Provider Business Practice Location Address
First Line : 13300 HICKMAN RD
Second Line :
City : CLIVE
State : IA
Zip : 50325-8616
Country : US
Telephone Number : 515-987-8835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ MIRIAM MORAVEC ” Practice Location

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