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General NPI Number Information
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NPI Number | 1700613080
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Entity Type | Organization
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Legal Business Name | HY-VEE INC
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Dates
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Enumeration Date | 09/19/2024
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 1255 W MORTON AVE
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City | JACKSONVILLE
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State | IL
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Zip | 62650-2770
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Country | US
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Telephone | 217-243-7525
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Fax |
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Provider Business Mailing Address
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Address Line | 5820 WESTOWN PKWY
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8223
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Country | US
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Telephone | 515-267-2800
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | ANGIE NELSON
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Credential |
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Telephone | 515-267-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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