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NPI 1326048786

NPI 1326048786 : CITY OF WALNUT : WALNUT, IA

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General NPI Number Information
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    NPI Number           |    1326048786
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF WALNUT 
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Dates
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    Enumeration Date     |    07/28/2005
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    Last Update Date     |    08/15/2025
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Provider Practice Location Address
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    Address Line         |    500 PEARL ST 
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    City                 |    WALNUT
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    State                |    IA
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    Zip                  |    51577
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    Country              |    US
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    Telephone            |    712-784-3443
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    Fax                  |    712-784-3511
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Provider Business Mailing Address
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    Address Line         |    10802 FARNAM DR 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68154-3237
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    Country              |    US
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    Telephone            |    877-218-4392
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    Fax                  |    877-343-0131
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Authorized Official
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    Title or Position    |    DEPUTY CITY CLERK
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    Name                 |     SHANNON RENAE WOOD 
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    Credential           |    
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    Telephone            |    531-895-5853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    2780800
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    License Number State |    IA
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