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General NPI Number Information
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NPI Number | 1881028504
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Entity Type | Organization
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Legal Business Name | COMPLETE HOME WELLNESS
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 3222 SW TOWNPARK CIR
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City | ANKENY
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State | IA
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Zip | 50023-8976
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Country | US
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Telephone | 319-404-8713
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Fax |
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Provider Business Mailing Address
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Address Line | 3222 SW TOWNPARK CIR
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City | ANKENY
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State | IA
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Zip | 50023-8976
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Country | US
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Telephone | 319-404-8713
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | PATRICK HILL
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Credential |
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Telephone | 319-404-8713
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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 | 004091
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License Number State | IA
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