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General NPI Number Information
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NPI Number | 1083149611
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Entity Type | Organization
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Legal Business Name | UNITYPOINT HEALTH - MARSHALLTOWN
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Dates
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Enumeration Date | 04/20/2017
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 105 N CHURCH ST
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City | CONRAD
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State | IA
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Zip | 50621-7714
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Country | US
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Telephone | 641-366-2123
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Fax |
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Provider Business Mailing Address
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Address Line | 55 UNITYPOINT WAY
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City | MARSHALLTOWN
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State | IA
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Zip | 50158-4749
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Country | US
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Telephone | 641-754-5145
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Fax | 641-844-6208
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Authorized Official
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Title or Position | CEO
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Name | PAMELA K. DELAGARDELLE
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Credential |
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Telephone | 319-235-3606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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