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General NPI Number Information
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NPI Number | 1194672592
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Entity Type | Organization
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Legal Business Name | CHILDSERVE SPECIALTY HOSPITAL, INC.
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 5406 MERLE HAY RD
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City | JOHNSTON
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State | IA
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Zip | 50131-1209
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Country | US
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Telephone | 515-727-8750
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 707
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City | JOHNSTON
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State | IA
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Zip | 50131-0707
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Country | US
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Telephone | 515-727-1468
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Fax |
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Authorized Official
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Title or Position | COO
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Name | PAIGE JAEGER
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Credential | MHA, FACHE
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Telephone | 515-727-1495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number |
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License Number State |
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