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General NPI Number Information
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NPI Number | 1104982743
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Entity Type | Organization
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Legal Business Name | CATHOLIC HEALTH INITIATIVES-IOWA CORP
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 1111 6TH AVE
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City | DES MOINES
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State | IA
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Zip | 50314-2610
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Country | US
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Telephone | 515-643-8200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4867
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City | DES MOINES
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State | IA
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Zip | 50305-4867
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Country | US
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Telephone | 515-643-8200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KURT ANDERSEN
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Credential |
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Telephone | 515-358-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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