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General NPI Number Information
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NPI Number | 1366513780
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Entity Type | Organization
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Legal Business Name | SCENIC VALLEY AREA VIII AGENCY ON AGING
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3505 STONEMAN RD STE 4
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City | DUBUQUE
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State | IA
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Zip | 52002-5305
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Country | US
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Telephone | 563-588-3970
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Fax | 563-588-1952
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Provider Business Mailing Address
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Address Line | 3505 STONEMAN RD STE 4
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City | DUBUQUE
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State | IA
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Zip | 52002-5305
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Country | US
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Telephone | 563-588-3970
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Fax | 563-588-1952
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. LINDA MCDONALD
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Credential |
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Telephone | 563-588-3970
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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 | IA
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