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General NPI Number Information
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NPI Number | 1932310984
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Entity Type | Organization
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Legal Business Name | HUMBOLDT WORKSHOP, INC.
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 21 TAFT ST N
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City | HUMBOLDT
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State | IA
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Zip | 50548-1768
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Country | US
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Telephone | 515-332-2841
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Fax | 515-332-1915
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Provider Business Mailing Address
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Address Line | 21 TAFT ST N PO BOX 587
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City | HUMBOLDT
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State | IA
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Zip | 50548-1768
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Country | US
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Telephone | 515-332-2841
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Fax | 515-332-1915
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. JOAN MARIE KELLNER
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Credential |
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Telephone | 515-332-2841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | IA
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