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General NPI Number Information
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NPI Number | 1255657466
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Entity Type | Organization
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Legal Business Name | ALLEN MEMORIAL HOSPITAL CORPORATION
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 1717 W RIDGEWAY AVE SUITE 50A
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City | WATERLOO
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State | IA
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Zip | 50701-4543
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Country | US
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Telephone | 319-833-6050
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Fax | 319-833-6051
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Provider Business Mailing Address
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Address Line | 1825 LOGAN AVE
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City | WATERLOO
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State | IA
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Zip | 50703-1916
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Country | US
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Telephone | 319-235-5285
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Fax | 319-235-3503
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MR. JOHN E KNOX
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Credential |
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Telephone | 319-235-3987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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