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General NPI Number Information
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NPI Number | 1932296399
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Entity Type | Organization
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Legal Business Name | MID IOWA COMMUNITY ACTION, INC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 126 S KELLOGG AVE SUITE 1
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City | AMES
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State | IA
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Zip | 50010-7030
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Country | US
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Telephone | 515-956-3312
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Fax | 515-956-3310
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Provider Business Mailing Address
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Address Line | 1001 S 18TH AVE
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City | MARSHALLTOWN
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State | IA
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Zip | 50158-3662
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Country | US
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Telephone | 641-752-7162
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Fax | 641-754-1007
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ARLENE MCATEE
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Credential |
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Telephone | 641-752-7162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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