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General NPI Number Information
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NPI Number | 1346338803
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Entity Type | Organization
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Legal Business Name | WESLEY COMMUNITY SERVICES
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 944 18TH ST
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City | DES MOINES
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State | IA
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Zip | 50314-1152
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Country | US
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Telephone | 515-288-3334
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Fax | 515-288-4740
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Provider Business Mailing Address
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Address Line | P.O. BOX 7192
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City | DES MOINES
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State | IA
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Zip | 50309-7192
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Country | US
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Telephone | 515-288-3334
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Fax | 515-288-4740
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Authorized Official
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Title or Position | CONTROLLER
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Name | KRYSTA STEVENS
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Credential |
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Telephone | 515-288-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | IA
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