MEDICARE: REBECCA EILEEN DOTY

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1740137942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA EILEEN DOTY

Provider Business Mailing Address
First Line	:	706 S 4TH ST APT B
Second Line	:
City	:	COUNCIL BLUFFS
State	:	IA
Zip	:	51503-9048
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	706 S 4TH ST APT B
Second Line	:
City	:	COUNCIL BLUFFS
State	:	IA
Zip	:	51503-9048
Country	:	US
Telephone Number	:	402-590-9920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ REBECCA EILEEN DOTY ” Practice Location

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