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General NPI Number Information
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NPI Number | 1750259974
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Entity Type | Organization
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Legal Business Name | BUDDY'S COMMUNITY HEALTH SERVICES AND ADVOCATE LLC
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 6901 SE 14TH ST LOT 204
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City | DES MOINES
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State | IA
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Zip | 50320-1835
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Country | US
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Telephone | 515-809-7437
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35132
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City | DES MOINES
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State | IA
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Zip | 50315-0302
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER BACCAM
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Credential |
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Telephone | 515-809-7437
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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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