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General NPI Number Information
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NPI Number | 1245807726
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Entity Type | Organization
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Legal Business Name | HANSEN HOUSE HARLAN
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 703 DYE ST
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City | HARLAN
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State | IA
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Zip | 51537-1108
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Country | US
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Telephone | 712-733-8783
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Fax | 712-733-8783
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Provider Business Mailing Address
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Address Line | 703 DYE ST
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City | HARLAN
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State | IA
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Zip | 51537-1108
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Country | US
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Telephone | 712-733-8783
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Fax | 712-733-8783
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Authorized Official
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Title or Position | HEALTH CARE COORDINATOR
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Name | JENNIFER DAWN HARBAUGH
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Credential | RN
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Telephone | 402-981-0801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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