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General NPI Number Information
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NPI Number | 1720447063
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Entity Type | Organization
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Legal Business Name | HOPE HAVEN AREA DEVELOPMENT CENTER CORPORATION
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 828 N 7TH ST
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City | BURLINGTON
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State | IA
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Zip | 52601-4921
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Country | US
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Telephone | 319-754-4689
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Fax |
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Provider Business Mailing Address
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Address Line | 828 N 7TH ST
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City | BURLINGTON
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State | IA
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Zip | 52601-4921
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Country | US
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Telephone | 319-754-4689
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ROBERT BARTLES
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Credential |
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Telephone | 319-237-1333
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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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