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General NPI Number Information
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NPI Number | 1205439916
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Entity Type | Individual
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Provider Name | INGA AYN EANES MSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 699 WALNUT ST
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City | DES MOINES
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State | IA
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Zip | 50309-3929
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Country | US
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Telephone | 323-205-7088
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Fax | 833-419-0181
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Provider Business Mailing Address
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Address Line | 28135 HERSHEY AVE
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City | GLENWOOD
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State | IA
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Zip | 51534-7037
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Country | US
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Telephone | 712-589-5033
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Fax | 712-382-7566
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 101267
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License Number State | IA
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