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General NPI Number Information
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NPI Number | 1154146330
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Entity Type | Organization
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Legal Business Name | WESLEY COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 4328 114TH ST
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City | URBANDALE
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State | IA
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Zip | 50322-5408
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Country | US
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Telephone | 515-271-6777
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Fax |
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Provider Business Mailing Address
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Address Line | 5508 NW 88TH ST
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City | JOHNSTON
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State | IA
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Zip | 50131-3005
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Country | US
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Telephone | 515-975-5497
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CRAIG FLANAGAN
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Credential |
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Telephone | 515-271-6559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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