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General NPI Number Information
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NPI Number | 1427520618
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Entity Type | Organization
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Legal Business Name | HOMELINK ALLINA
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 12/28/2018
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Provider Practice Location Address
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Address Line | 1111 W SAN MARNAN DR
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City | WATERLOO
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State | IA
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Zip | 50701-8927
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Country | US
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Telephone | 800-482-1993
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1860
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City | WATERLOO
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State | IA
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Zip | 50704-1860
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER, REGULATORY COMPLIANCE
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Name | RICK HIBBEN
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Credential |
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Telephone | 866-546-6893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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