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General NPI Number Information
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NPI Number | 1073223020
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Entity Type | Individual
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Provider Name | HALEY NEAL CADC
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Gender | Female
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 1300 WOODLAND AVE
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City | DES MOINES
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State | IA
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Zip | 50309-3222
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Country | US
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Telephone | 515-280-4903
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Fax |
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Provider Business Mailing Address
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Address Line | 4906 NW 5TH ST
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City | ANKENY
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State | IA
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Zip | 50023-8849
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Country | US
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Telephone | 515-419-7555
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 22166
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License Number State | IA
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