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General NPI Number Information
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NPI Number | 1659178093
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Entity Type | Organization
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Legal Business Name | EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1316 E 9TH ST
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City | DES MOINES
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State | IA
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Zip | 50316-2318
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Country | US
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Telephone | 515-699-8627
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Fax | 515-255-9549
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Provider Business Mailing Address
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Address Line | 945 19TH ST
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City | DES MOINES
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State | IA
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Zip | 50314-1117
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Country | US
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Telephone | 515-241-0982
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA L STEIDL BISHOP
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Credential |
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Telephone | 515-241-0982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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