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General NPI Number Information
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NPI Number | 1346390812
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Entity Type | Organization
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Legal Business Name | SCOTT COUNTY CASE MANAGEMENT
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1441 W CENTRAL PARK AVE
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City | DAVENPORT
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State | IA
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Zip | 52804-1707
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Country | US
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Telephone | 563-383-1900
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Fax | 563-884-4638
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Provider Business Mailing Address
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Address Line | 600 W. 4TH ST
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City | DAVENPORT
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State | IA
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Zip | 52801
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Country | US
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Telephone | 563-326-8723
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Fax | 563-884-4638
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Authorized Official
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Title or Position | CPC
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Name | MS. LORI ELAM
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Credential |
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Telephone | 563-326-8723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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