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General NPI Number Information
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NPI Number | 1942584784
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Entity Type | Organization
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Legal Business Name | ALLEN MEMORIAL HOSPITAL CORPORATION
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 10/17/2013
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Provider Practice Location Address
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Address Line | 1825 LOGAN AVE
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City | WATERLOO
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State | IA
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Zip | 50703-1999
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Country | US
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Telephone | 319-235-3606
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 LOGAN AVE
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City | WATERLOO
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State | IA
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Zip | 50703-1999
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Country | US
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Telephone | 319-235-3606
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | RENEE A RASMUSSEN
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Credential |
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Telephone | 319-235-3918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 070034H
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License Number State | IA
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