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General NPI Number Information
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NPI Number | 1053883660
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Entity Type | Organization
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Legal Business Name | IOWA FAMILY HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 336 E PAYTON AVE
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City | DES MOINES
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State | IA
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Zip | 50315-5854
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Country | US
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Telephone | 515-779-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 336 E PAYTON AVE
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City | DES MOINES
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State | IA
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Zip | 50315-5854
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Country | US
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Telephone | 515-779-4450
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Fax |
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Authorized Official
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Title or Position | OWNER/SECRETARY
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Name | BHIM GURUNG
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Credential |
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Telephone | 157-794-4505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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