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General NPI Number Information
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NPI Number | 1518094788
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Entity Type | Organization
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Legal Business Name | DES MOINES INDEPENDENT COMMUNITY SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1801 16TH ST
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City | DES MOINES
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State | IA
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Zip | 50314-1902
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Country | US
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Telephone | 515-242-7618
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Fax | 515-242-8267
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Provider Business Mailing Address
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Address Line | 1801 16TH ST
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City | DES MOINES
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State | IA
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Zip | 50314-1902
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Country | US
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Telephone | 515-242-7618
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Fax | 515-242-8267
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. ELLEN MCGINNIS-SMITH
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Credential | PHD.
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Telephone | 515-242-7714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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