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General NPI Number Information
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NPI Number | 1851429344
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Entity Type | Organization
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Legal Business Name | ADLM COUNTIES ENVIRONMENTAL PUBLIC HEALTH
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 12307 HIGHWAY 5
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City | MORAVIA
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State | IA
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Zip | 52571-8977
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Country | US
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Telephone | 641-724-3511
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Fax | 641-724-3513
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Provider Business Mailing Address
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Address Line | 12307 HIGHWAY 5 P.O. BOX 399
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City | MORAVIA
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State | IA
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Zip | 52571-8977
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Country | US
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Telephone | 641-724-3511
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Fax | 641-724-3513
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CONNIE R FOSTER
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Credential |
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Telephone | 641-724-3511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | IA2003FIRM0127
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License Number State | IA
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