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General NPI Number Information
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NPI Number | 1497375133
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Entity Type | Organization
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Legal Business Name | AMES MENTAL HEALTH AND WELLNESS CENTER PLC
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 1531 AIRPORT RD STE 102
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City | AMES
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State | IA
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Zip | 50010-8211
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Country | US
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Telephone | 515-620-5352
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Fax | 877-375-1824
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Provider Business Mailing Address
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Address Line | 1531 AIRPORT RD STE 102
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City | AMES
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State | IA
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Zip | 50010-8211
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Country | US
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Telephone | 515-620-5352
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Fax | 877-375-1824
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MAUREEN ELIZABETH PATTERSON
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Credential | PA-C
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Telephone | 515-620-5352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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