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General NPI Number Information
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NPI Number | 1407107741
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Entity Type | Organization
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Legal Business Name | HEMESATH & ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 09/26/2012
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Provider Practice Location Address
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Address Line | 6600 WESTOWN PKWY STE 240
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City | WEST DES MOINES
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State | IA
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Zip | 50266-7714
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Country | US
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Telephone | 515-556-3556
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Fax | 515-401-1086
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Provider Business Mailing Address
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Address Line | 6600 WESTOWN PKWY STE 240
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City | WEST DES MOINES
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State | IA
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Zip | 50266-7714
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Country | US
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Telephone | 515-556-3556
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Fax | 515-401-1086
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL HEMESATH
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Credential | MS, LMFT, LMHC
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Telephone | 515-556-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 00202
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License Number State | IA
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