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General NPI Number Information
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NPI Number | 1104989839
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Entity Type | Organization
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Legal Business Name | FAMILY DEVELOPMENT SERVICES, INC.
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Dates
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Enumeration Date | 12/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 308 E BURLINGTON ST # 196
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City | IOWA CITY
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State | IA
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Zip | 52240-1602
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Country | US
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Telephone | 319-321-7490
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Fax |
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Provider Business Mailing Address
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Address Line | 308 E BURLINGTON ST # 196
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City | IOWA CITY
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State | IA
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Zip | 52240-1602
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | F. SAMMET
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Credential |
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Telephone | 319-321-7490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 02225
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License Number State | IA
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