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General NPI Number Information
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NPI Number | 1003352949
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Entity Type | Organization
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Legal Business Name | CENTRAL IOWA HOSPITAL CORPORATION
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 1200 PLEASANT ST
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City | DES MOINES
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State | IA
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Zip | 50309-1406
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Country | US
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Telephone | 515-241-5936
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Fax | 515-241-5925
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Provider Business Mailing Address
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Address Line | 1200 PLEASANT ST
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City | DES MOINES
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State | IA
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Zip | 50309-1406
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Country | US
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Telephone | 515-241-5942
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Fax |
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Authorized Official
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Title or Position | PHARMACY OPERATIONS MANAGER
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Name | ANGELA BOORD
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Credential |
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Telephone | 515-241-5942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 1591
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License Number State | IA
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