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General NPI Number Information
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NPI Number | 1912032442
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTH SERVICES OF EASTERN IOWA INC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2635 LINCOLN WAY STE A
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City | CLINTON
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State | IA
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Zip | 52732-7203
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Country | US
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Telephone | 563-243-1413
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Fax | 563-242-9992
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Provider Business Mailing Address
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Address Line | 2635 LINCOLN WAY STE A
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City | CLINTON
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State | IA
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Zip | 52732-7203
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Country | US
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Telephone | 563-243-1413
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Fax | 563-242-9992
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CAROL MACHAEL
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Credential |
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Telephone | 563-243-1413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State | IA
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