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General NPI Number Information
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NPI Number | 1700684685
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Entity Type | Organization
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Legal Business Name | CARE WITH HADASSAH LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 8602 WESTOWN PKWY APT 2601
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1597
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Country | US
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Telephone | 817-302-6350
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Fax |
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Provider Business Mailing Address
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Address Line | 8602 WESTOWN PKWY APT 2601
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1597
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Country | US
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Telephone | 817-302-6350
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RENE MUGISHA MUSHISHI
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Credential |
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Telephone | 817-302-6350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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