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General NPI Number Information
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NPI Number | 1114906906
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Entity Type | Organization
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Legal Business Name | ALL CARE HEALTH CENTER
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 902 S 6TH ST
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-6441
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Country | US
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Telephone | 712-325-1990
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Fax | 712-325-0288
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Provider Business Mailing Address
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Address Line | 902 S 6TH ST
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-6441
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Country | US
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Telephone | 712-325-1990
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Fax | 712-325-0288
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Authorized Official
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Title or Position | ACCOUNTS REC MANAGER
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Name | KIMBERLY SLOBODNIK
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Credential |
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Telephone | 712-325-1990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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