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General NPI Number Information
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NPI Number | 1568116135
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Entity Type | Organization
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Legal Business Name | HILLS AND DALES CHILD DEVELOPMENT CENTER
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1660 EMBASSY WEST DR
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City | DUBUQUE
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State | IA
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Zip | 52002-2265
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Country | US
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Telephone | 563-556-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 DAVIS STREET
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City | DUBUQUE
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State | IA
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Zip | 52001-1397
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Country | US
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Telephone | 563-556-7878
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Fax | 563-557-3822
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Authorized Official
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Title or Position | CEO
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Name | JACK MESCHER
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Credential |
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Telephone | 563-556-7878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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