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General NPI Number Information
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NPI Number | 1083140685
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Entity Type | Organization
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Legal Business Name | PRIVATE DUTY NURSING PLUS LLC
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 1300 METRO EAST DR STE 110
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City | PLEASANT HILL
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State | IA
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Zip | 50327-8905
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Country | US
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Telephone | 515-243-0011
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Fax | 515-243-7711
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Provider Business Mailing Address
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Address Line | 1300 METRO EAST DR STE 110
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City | PLEASANT HILL
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State | IA
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Zip | 50327-8905
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Country | US
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Telephone | 515-243-0011
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Fax | 515-243-7711
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Authorized Official
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Title or Position | MEMBER
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Name | BRAD H ROGERS
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Credential | RN
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Telephone | 515-243-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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