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General NPI Number Information
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NPI Number | 1740282391
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Entity Type | Organization
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Legal Business Name | ABCM CORPORATION
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 1900 W 3RD PL
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City | INDIANOLA
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State | IA
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Zip | 50125-2104
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Country | US
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Telephone | 515-961-3189
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Fax | 515-962-1288
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Provider Business Mailing Address
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Address Line | 1320 4TH ST NE
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City | HAMPTON
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State | IA
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Zip | 50441-1104
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Country | US
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Telephone | 641-456-5636
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Fax | 641-456-2320
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Authorized Official
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Title or Position | CHAIRMAN & CEO
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Name | RICHARD ALBERT ALLBEE
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Credential |
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Telephone | 641-456-5636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 910176
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License Number State | IA
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