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General NPI Number Information
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NPI Number | 1811837032
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Entity Type | Organization
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Legal Business Name | DES MOINES WELLNESS CENTER
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 5820 WINWOOD DR
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City | JOHNSTON
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State | IA
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Zip | 50131-1821
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Country | US
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Telephone | 631-672-7441
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Fax | 323-529-8134
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Provider Business Mailing Address
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Address Line | 621 NW 53RD ST STE 370
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City | BOCA RATON
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State | FL
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Zip | 33487-8241
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Country | US
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Telephone | 631-672-7441
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Fax | 323-529-8134
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Authorized Official
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Title or Position | CRO
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Name | MR. COLIN MCBRIDE
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Credential |
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Telephone | 631-672-7441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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