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General NPI Number Information
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NPI Number | 1285707729
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Entity Type | Organization
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Legal Business Name | DA-RU, INC.
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 736 HIGHWAY 37
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City | EARLING
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State | IA
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Zip | 51530-5314
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Country | US
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Telephone | 712-747-3301
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Fax | 712-747-9002
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Provider Business Mailing Address
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Address Line | 736 HIGHWAY 37
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City | EARLING
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State | IA
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Zip | 51530-5314
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Country | US
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Telephone | 712-747-3301
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Fax | 712-747-9002
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Authorized Official
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Title or Position | OFFICER
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Name | PAT HOFFMAN
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Credential |
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Telephone | 712-747-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 830346
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License Number State | IA
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