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General NPI Number Information
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NPI Number | 1912921198
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Entity Type | Organization
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Legal Business Name | MARIAN HEALTH CENTER-SMHC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 801 5TH ST
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City | SIOUX CITY
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State | IA
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Zip | 51101-1326
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Country | US
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Telephone | 712-279-2010
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Fax | 712-279-5631
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Provider Business Mailing Address
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Address Line | 801 5TH ST
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City | SIOUX CITY
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State | IA
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Zip | 51101-1326
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Country | US
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Telephone | 712-279-2010
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Fax | 712-279-5631
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Authorized Official
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Title or Position | VP FINANCE
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Name | JESICA HANSON
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Credential |
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Telephone | 712-279-5850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 970112H
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License Number State | IA
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