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General NPI Number Information
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NPI Number | 1750383055
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Entity Type | Organization
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Legal Business Name | OTTUMWA REGIONAL HEALTH CENTER INC
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | 1 PENNSYLVANIA PL APT 2
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City | OTTUMWA
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State | IA
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Zip | 52501-2171
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Country | US
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Telephone | 641-684-3136
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Fax | 641-682-1237
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Provider Business Mailing Address
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Address Line | 1 PENNSYLVANIA PL APT 2
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City | OTTUMWA
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State | IA
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Zip | 52501-2171
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Country | US
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Telephone | 641-684-3136
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Fax | 641-682-1237
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. CHERI BARNHART
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Credential | RN, BSN
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Telephone | 641-684-3136
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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 | N/A
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License Number State | IA
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