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General NPI Number Information
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NPI Number | 1649560368
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Entity Type | Organization
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Legal Business Name | CERRO GORDO COUNTY BOARD OF HEALTH
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 2570 4TH ST SW STE 1
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City | MASON CITY
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State | IA
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Zip | 50401-4665
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Country | US
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Telephone | 641-421-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 2570 4TH ST SW STE 1
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City | MASON CITY
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State | IA
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Zip | 50401-4665
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Country | US
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Telephone | 641-421-9326
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PUBLIC HEALTH
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Name | MR. BRIAN HANFT
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Credential |
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Telephone | 641-421-9300
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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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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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