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General NPI Number Information
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NPI Number | 1942623004
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Entity Type | Organization
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Legal Business Name | LOUIS COUNTY
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 805 J L HODGES HWY 61 NORTH
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City | WAPELLO
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State | IA
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Zip | 52653-1044
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Country | US
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Telephone | 319-523-3981
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Fax | 319-523-8408
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Provider Business Mailing Address
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Address Line | 805 J L HODGES HWY 61 NORTH
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City | WAPELLO
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State | IA
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Zip | 52653-1044
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Country | US
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Telephone | 319-523-3981
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Fax | 319-523-8408
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PATRICIA K SALLEE
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Credential | RN MSN
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Telephone | 319-523-3981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | IA
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