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General NPI Number Information
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NPI Number | 1861447609
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Entity Type | Organization
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Legal Business Name | HEALTHWISE RESOURCES LLC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 123 6TH ST STE 1
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City | AMES
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State | IA
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Zip | 50010-6455
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Country | US
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Telephone | 515-233-1139
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Fax |
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Provider Business Mailing Address
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Address Line | 2213 GRAND AVE
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City | DES MOINES
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State | IA
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Zip | 50312-5305
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Country | US
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Telephone | 515-237-3974
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Fax | 515-883-2692
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | VICTORIA 'RIA' KEINERT
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Credential | MSPT, CLT, CPC
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Telephone | 515-223-1139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | IA
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