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General NPI Number Information
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NPI Number | 1740414671
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Entity Type | Organization
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Legal Business Name | FAMILY BEHAVIORAL HEALTHCARE OF IOWA
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 218 N 3RD ST SUITE 600
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City | BURLINGTON
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State | IA
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Zip | 52601-5330
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Country | US
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Telephone | 319-752-7300
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Fax | 319-752-4255
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Provider Business Mailing Address
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Address Line | 218 N 3RD ST SUITE 600
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City | BURLINGTON
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State | IA
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Zip | 52601-5330
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Country | US
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Telephone | 319-752-7300
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JONATHAN WOODS WEINAND
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Credential | PH.D.
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Telephone | 319-752-7300
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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 | 00683
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License Number State | IA
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