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General NPI Number Information
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NPI Number | 1902928633
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Entity Type | Organization
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Legal Business Name | SIOUX CENTER COMMUNITY HOSPITAL & HEALTH CENTER
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 527 SOUTH MAIN AVENUE
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City | SIOUX CENTER
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State | IA
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Zip | 51250-1450
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Country | US
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Telephone | 712-722-1271
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Fax | 712-722-1003
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Provider Business Mailing Address
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Address Line | 605 SOUTH MAIN AVENUE
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City | SIOUX CENTER
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State | IA
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Zip | 51250-1398
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Country | US
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Telephone | 712-722-1271
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Fax | 712-722-1003
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Authorized Official
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Title or Position | CFO
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Name | MRS. NANCY J. CARLSON
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Credential |
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Telephone | 712-722-8153
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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 | IA
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | CENT. NO. 50076
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License Number State | IA
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