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General NPI Number Information
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NPI Number | 1265672224
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Entity Type | Organization
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Legal Business Name | HY-VEE, INC.
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 5820 WESTOWN PKWY
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8223
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Country | US
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Telephone | 515-440-4940
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Fax |
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Provider Business Mailing Address
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Address Line | 5820 WESTOWN PKWY
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8223
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Country | US
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Telephone | 515-440-4940
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Fax |
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Authorized Official
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Title or Position | HEALTH & WELLNESS SUPERVISOR
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Name | MRS. DONNA JEAN DOLAN
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Credential | M.S., R.D., L.D
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Telephone | 515-440-4940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 01233
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License Number State | IA
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