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NPI Code Detail

MEDICARE: NATALEE PAIGE GENT RD

MEDICARE: NATALEE PAIGE GENT RD
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
1133V00000XRegistered Dietitian093140IA

General Provider Information

NPI Number : 1851864870
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALEE PAIGE GENT RD
Provider Business Mailing Address
First Line : 1720 WATERFRONT DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-4414
Country : US
Telephone Number : 319-354-7601
Fax Number :
Provider Business Practice Location Address
First Line : 1720 WATERFRONT DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-4414
Country : US
Telephone Number : 319-354-7601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2019
Last Update Date : 01/03/2019

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Directions to “ NATALEE PAIGE GENT RD” Practice Location

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