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General NPI Number Information
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NPI Number | 1538622279
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Entity Type | Organization
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Legal Business Name | VISITING NURSE SERVICES OF IOWA
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 300 WEST BROADWAY SUITE 114
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503
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Country | US
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Telephone | 712-325-6802
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Fax | 712-322-2671
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Provider Business Mailing Address
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Address Line | 3000 EASTON BLVD
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City | DES MOINES
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State | IA
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Zip | 50317-3124
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Country | US
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Telephone | 515-333-4261
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | TRAY WADE
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Credential |
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Telephone | 515-274-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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