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General NPI Number Information
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NPI Number | 1053881102
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Entity Type | Organization
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Legal Business Name | POTTAWATTAMIE COUNTY
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Dates
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Enumeration Date | 12/03/2018
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 515 5TH AVE
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-0903
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Country | US
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Telephone | 712-242-1131
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Fax | 712-242-1162
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Provider Business Mailing Address
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Address Line | 227 S 6TH ST
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-4269
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Country | US
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Telephone | 712-328-5792
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Fax | 712-328-4731
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Authorized Official
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Title or Position | PUBLIC HEALTH ADMINISTRATOR
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Name | MARIA SIECK
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Credential |
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Telephone | 712-242-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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