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General NPI Number Information
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NPI Number | 1447110309
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Entity Type | Organization
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Legal Business Name | HEARTLAND FAMILY SERVICE
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 900 9TH AVE
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-6338
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Country | US
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Telephone | 402-553-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 N 60TH ST BLDG C
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City | OMAHA
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State | NE
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Zip | 68104-3402
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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 | CREDENTIALING
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Name | DIANA ROBERTS
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Credential |
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Telephone | 402-552-7459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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