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General NPI Number Information
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NPI Number | 1871443382
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Entity Type | Organization
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Legal Business Name | ACCESS HABILITATION CENTER LLC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1110 NE PRIMROSE LN UNIT 116
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City | GRIMES
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State | IA
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Zip | 50111-6711
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Country | US
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Telephone | 515-499-7565
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 NE PRIMROSE LN UNIT 116
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City | GRIMES
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State | IA
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Zip | 50111-6711
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Country | US
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Telephone | 515-499-7565
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NAOMIE BOWA
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Credential |
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Telephone | 515-499-7565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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