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General NPI Number Information
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NPI Number | 1134085152
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Entity Type | Organization
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Legal Business Name | EMINENT HEALTH GROUP LLC
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Dates
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Enumeration Date | 01/03/2026
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 160 DAKOTA CIR
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City | WAUKEE
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State | IA
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Zip | 50263-7125
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Country | US
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Telephone | 515-200-9559
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Fax |
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Provider Business Mailing Address
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Address Line | 160 DAKOTA CIR
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City | WAUKEE
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State | IA
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Zip | 50263-7125
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Country | US
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Telephone | 515-200-9559
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VICTORIA B SONDE GUEH
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Credential | MA
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Telephone | 515-770-9704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities 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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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