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General NPI Number Information
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NPI Number | 1699748178
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Entity Type | Organization
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Legal Business Name | CARE INITIATIVES
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 1904 W HOWARD ST
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City | KNOXVILLE
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State | IA
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Zip | 50138-3180
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Country | US
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Telephone | 641-842-3153
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Fax | 641-828-7082
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Provider Business Mailing Address
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Address Line | 1611 W LAKES PKWY
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8212
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Country | US
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Telephone | 515-224-4442
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Fax | 515-224-0960
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Authorized Official
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Title or Position | SVP/CFO
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Name | DAVID DIXON
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Credential |
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Telephone | 515-224-4442
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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 | 630121
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License Number State | IA
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