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General NPI Number Information
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NPI Number | 1679283600
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Entity Type | Organization
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Legal Business Name | BHC2 INC
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 2728 ASBURY RD STE 775
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City | DUBUQUE
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State | IA
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Zip | 52001-2984
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Country | US
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Telephone | 515-978-7991
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 SE STONE PRAIRIE DR
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City | WAUKEE
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State | IA
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Zip | 50263-3502
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Country | US
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Telephone | 515-978-7991
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Fax | 515-978-7992
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT BAUMGART
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Credential |
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Telephone | 402-880-6722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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