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General NPI Number Information
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NPI Number | 1568067932
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Entity Type | Organization
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Legal Business Name | OPTIMAE HOME HEALTH SERVICES CENTRAL IOWA INC
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 600 E COURT AVE STE 201
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City | DES MOINES
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State | IA
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Zip | 50309-2058
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Country | US
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Telephone | 515-277-0134
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Fax | 515-243-7811
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Provider Business Mailing Address
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Address Line | 600 E COURT AVE STE 201
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City | DES MOINES
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State | IA
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Zip | 50309-2058
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Country | US
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Telephone | 515-277-0134
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Fax | 515-243-7811
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | SHERYL L GILL
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Credential |
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Telephone | 641-472-4464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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