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General NPI Number Information
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NPI Number | 1265364731
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Entity Type | Organization
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Legal Business Name | ALL INCLUSIVE COMMUNITY SERVICES LLC
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 820 S RIVERSIDE DR # 21
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City | IOWA CITY
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State | IA
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Zip | 52246-5611
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Country | US
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Telephone | 317-748-9436
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Fax |
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Provider Business Mailing Address
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Address Line | 2416 N 188TH TER
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City | ELKHORN
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State | NE
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Zip | 68022-5813
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Country | US
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Telephone | 317-748-9436
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | REGIS GUEDEGBE
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Credential |
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Telephone | 317-748-9436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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