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General NPI Number Information
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NPI Number | 1730640830
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Entity Type | Organization
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Legal Business Name | HOPE COMMUNITY LIVING OF IOWA,INC.
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 1600 ARMY POST RD
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City | DES MOINES
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State | IA
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Zip | 50315-5409
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Country | US
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Telephone | 515-523-5122
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Fax | 515-608-4620
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Provider Business Mailing Address
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Address Line | PO BOX 7673
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City | URBANDALE
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State | IA
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Zip | 50323-7673
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Country | US
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Telephone | 515-523-5122
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Fax | 515-608-4620
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. HOSEA BETTS
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Credential |
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Telephone | 515-523-5122
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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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