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General NPI Number Information
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NPI Number | 1144388414
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Entity Type | Organization
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Legal Business Name | SUPERIOR HEALTH CARE
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 01/13/2008
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Provider Practice Location Address
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Address Line | 7725 WISTFUL VISTA DR UNIT 703
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8032
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Country | US
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Telephone | 515-256-0323
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Fax | 515-537-1051
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Provider Business Mailing Address
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Address Line | PO BOX 66054
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City | WEST DES MOINES
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State | IA
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Zip | 50265-9408
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Country | US
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Telephone | 515-256-0323
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Fax | 515-537-1051
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Authorized Official
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Title or Position | CEO
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Name | PATRICIA ANN BARKER
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Credential |
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Telephone | 515-256-0323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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