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General NPI Number Information
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NPI Number | 1871456335
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Entity Type | Organization
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Legal Business Name | HIAWATHA ALF LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1320 LITCHFIELD DR
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City | HIAWATHA
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State | IA
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Zip | 52233-2343
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Country | US
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Telephone | 319-743-9812
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 LITCHFIELD DR
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City | HIAWATHA
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State | IA
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Zip | 52233-2343
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DOVID INSEL
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Credential |
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Telephone | 443-742-8167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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