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General NPI Number Information
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NPI Number | 1801661087
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Entity Type | Organization
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Legal Business Name | ANAWIM HOUSING
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 1750 48TH ST STE 100B
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City | DES MOINES
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State | IA
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Zip | 50310-1900
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Country | US
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Telephone | 515-864-6321
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Fax | 515-244-7977
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Provider Business Mailing Address
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Address Line | 1750 48TH ST STE 100B
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City | DES MOINES
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State | IA
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Zip | 50310-1900
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Country | US
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Telephone | 515-864-6321
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Fax | 515-244-7977
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Authorized Official
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Title or Position | DIRECTOR OF PROGRAMS AND SERVICES
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Name | JEREMY ORCUTT
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Credential | IADC
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Telephone | 515-864-6321
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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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