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General NPI Number Information
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NPI Number | 1316241615
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Entity Type | Organization
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Legal Business Name | WAVERLY HEALTH CENTER
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Dates
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Enumeration Date | 12/29/2010
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 312 9TH STREET SW SUITE 3000
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City | WAVERLY
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State | IA
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Zip | 50677-2909
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Country | US
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Telephone | 319-483-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 312 9TH ST SW
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City | WAVERLY
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State | IA
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Zip | 50677-2929
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Country | US
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Telephone | 319-352-4120
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Fax | 319-352-3992
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Authorized Official
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Title or Position | CEO
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Name | MS. JODI M GEERTS
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Credential |
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Telephone | 319-352-4120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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