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General NPI Number Information
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NPI Number | 1699757294
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Entity Type | Organization
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Legal Business Name | COUNTY OF CHEROKEE
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 520 W MAIN ST BOX B
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City | CHEROKEE
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State | IA
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Zip | 51012-1700
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Country | US
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Telephone | 712-225-6718
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Fax | 712-225-6710
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Provider Business Mailing Address
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Address Line | 520 W MAIN ST BOX B
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City | CHEROKEE
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State | IA
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Zip | 51012-1700
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Country | US
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Telephone | 712-225-6718
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Fax | 712-225-6710
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Authorized Official
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Title or Position | NURSE ADMINISTRATOR
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Name | MRS. KIM RUPP
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Credential | RN, BSN
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Telephone | 712-225-6718
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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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