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General NPI Number Information
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NPI Number | 1063504702
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Entity Type | Organization
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Legal Business Name | CITY OF DUBUQUE HEALTH SERVICES DEPARTMENT
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1300 MAIN ST
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City | DUBUQUE
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State | IA
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Zip | 52001-4732
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Country | US
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Telephone | 563-589-4181
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Fax | 563-589-4299
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Provider Business Mailing Address
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Address Line | 1300 MAIN ST
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City | DUBUQUE
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State | IA
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Zip | 52001-4732
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Country | US
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Telephone | 563-589-4181
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Fax | 563-589-4299
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Authorized Official
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Title or Position | PUBLIC HEALTH SPECIALIST
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Name | MS. MARY ROSE CORRIGAN
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Credential | MSN
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Telephone | 563-589-4181
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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 | IA
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