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General NPI Number Information
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NPI Number | 1164611265
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Entity Type | Organization
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Legal Business Name | VNA HOSPICE OF SOUTHWEST IOWA
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 822 S MAIN ST STE 102
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-0901
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Country | US
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Telephone | 712-352-1389
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Fax | 712-352-2070
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Provider Business Mailing Address
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Address Line | 822 S MAIN ST STE 102
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-0901
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Country | US
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Telephone | 712-352-1389
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Fax | 712-352-2070
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | CHERYL ULFERS
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Credential |
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Telephone | 402-930-4166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 161576
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License Number State | IA
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