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General NPI Number Information
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NPI Number | 1679576946
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Entity Type | Organization
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Legal Business Name | THE CEDAR FOUNDATION INCORPORATED OF CEDAR COUNTY IOWA
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 1200 MULBERRY STREET
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City | TIPTON
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State | IA
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Zip | 52772-1347
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Country | US
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Telephone | 563-886-2133
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Fax | 563-886-1555
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Provider Business Mailing Address
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Address Line | 1200 MULBERRY STREET
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City | TIPTON
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State | IA
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Zip | 52772-1347
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Country | US
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Telephone | 563-886-2133
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Fax | 563-886-1555
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JILL M EAST
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Credential |
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Telephone | 563-886-2133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 160886
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | IA
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