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General NPI Number Information
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NPI Number | 1407462625
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Entity Type | Organization
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Legal Business Name | CARING HEARTS OF WEST CENTRAL IOWA, LLC
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 702 SAN SALVADOR AVE
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City | CARROLL
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State | IA
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Zip | 51401-1838
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Country | US
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Telephone | 712-792-3034
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 584
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City | CARROLL
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State | IA
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Zip | 51401-0584
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Country | US
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Telephone | 712-792-3034
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/PRESIDENT
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Name | LOUANN MOWREY
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Credential |
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Telephone | 712-792-3034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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