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General NPI Number Information
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NPI Number | 1861620460
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Entity Type | Organization
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Legal Business Name | CARING COMPANION SERVICES OF IOWA
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 3710 56TH ST APT 20
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City | DES MOINES
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State | IA
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Zip | 50310-1267
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Country | US
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Telephone | 515-278-4020
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Fax |
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Provider Business Mailing Address
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Address Line | 3710 56TH ST APT 20
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City | DES MOINES
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State | IA
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Zip | 50310-1267
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Country | US
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Telephone | 515-278-4020
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Fax |
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Authorized Official
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Title or Position | HOME HEALTH CARE OWNER
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Name | DAVONNA MARIE HARRIS
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Credential | REGISTERED NURSE
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Telephone | 515-306-6343
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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 | 111890
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License Number State | IA
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