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General NPI Number Information
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NPI Number | 1720087687
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Entity Type | Organization
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Legal Business Name | WOODBURY COUNTY GOVERNMENT
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 1014 NEBRASKA ST
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City | SIOUX CITY
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State | IA
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Zip | 51105-1435
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Country | US
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Telephone | 712-279-6119
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Fax | 712-255-2605
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Provider Business Mailing Address
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Address Line | 1014 NEBRASKA ST
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City | SIOUX CITY
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State | IA
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Zip | 51105-1435
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Country | US
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Telephone | 712-279-6119
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Fax | 712-255-2605
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH
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Name | MR. KEVIN GRIEME
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Credential | MS BS
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Telephone | 712-279-6119
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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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