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General NPI Number Information
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NPI Number | 1366529109
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Entity Type | Organization
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Legal Business Name | DECATUR COUNTY COMMUNITY SERVICES
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 NE IDAHO ST
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City | LEON
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State | IA
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Zip | 50144-1646
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Country | US
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Telephone | 641-446-7178
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Fax | 641-446-8208
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Provider Business Mailing Address
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Address Line | 201 NE IDAHO ST
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City | LEON
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State | IA
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Zip | 50144-1646
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Country | US
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Telephone | 641-446-7178
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Fax | 641-446-8208
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. LILA M OILER
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Credential | LMSW
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Telephone | 641-446-7178
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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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