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General NPI Number Information
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NPI Number | 1588578256
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Entity Type | Organization
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Legal Business Name | HEARTLAND FAMILY SERVICE
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 2307 OLIVE ST
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City | ATLANTIC
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State | IA
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Zip | 50022-1935
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Country | US
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Telephone | 712-243-5091
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Fax |
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Provider Business Mailing Address
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Address Line | 2307 OLIVE ST PO BOX 34
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City | ATLANTIC
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State | IA
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Zip | 50022-1935
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | INTAKE PD
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Name | DIANA ROBERTS
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Credential |
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Telephone | 402-552-7459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | NULL
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