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General NPI Number Information
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NPI Number | 1407896459
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD OF THE HEARTLAND
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 2751 TECH DRIVE
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City | BETTENDORF
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State | IA
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Zip | 52722-3242
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Country | US
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Telephone | 866-290-4325
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Fax | 515-280-9525
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Provider Business Mailing Address
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Address Line | 671 VANDALIA ST ATTN: PPH
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City | ST PAUL
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State | MN
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Zip | 55114-1312
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Country | US
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Telephone | 866-290-4325
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Fax | 515-280-9525
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Authorized Official
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Title or Position | CFO
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Name | RANDY DRAGER
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Credential |
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Telephone | 651-698-2406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | A111867
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01898
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License Number State | IA
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