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General NPI Number Information
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NPI Number | 1386720563
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Entity Type | Organization
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Legal Business Name | COUNTY OF VAN BUREN
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 02/22/2010
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Provider Practice Location Address
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Address Line | 905 BROAD ST COURTHOUSE
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City | KEOSAUQUA
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State | IA
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Zip | 52565-0514
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Country | US
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Telephone | 319-293-3431
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Fax | 319-293-3609
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Provider Business Mailing Address
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Address Line | PO BOX 514 905 BROAD ST
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City | KEOSAUQUA
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State | IA
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Zip | 52565-0514
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Country | US
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Telephone | 319-293-3431
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Fax | 319-293-3609
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Authorized Official
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Title or Position | NURSE ADMINISTRATOR
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Name | MS. LINDEE J THOMAS
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Credential | RN
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Telephone | 319-293-3431
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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 |
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