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General NPI Number Information
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NPI Number | 1457171100
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Entity Type | Organization
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Legal Business Name | BENTON COUNTY PUBLIC HEALTH
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 811 D AVE STE 29
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City | VINTON
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State | IA
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Zip | 52349-1338
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Country | US
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Telephone | 319-214-2601
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Fax | 319-214-6102
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Provider Business Mailing Address
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Address Line | 811 D AVE STE 29
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City | VINTON
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State | IA
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Zip | 52349-1338
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Country | US
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Telephone | 319-214-2601
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Fax |
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Authorized Official
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Title or Position | CLINICAL PROGRAM COORDINATOR
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Name | MONICA COX
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Credential | BSN, RN
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Telephone | 319-214-2601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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