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General NPI Number Information
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NPI Number | 1942833298
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Entity Type | Organization
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Legal Business Name | UJIMA COMMUNITY SERVICES
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Dates
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Enumeration Date | 02/14/2020
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 100 E. EUCLID STE 131
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City | DES MOINES
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State | IA
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Zip | 50313
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Country | US
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Telephone | 515-339-2951
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E EUCLID AVE STE 131
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City | DES MOINES
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State | IA
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Zip | 50313-4540
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Country | US
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Telephone | 319-239-8831
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LEAH JEAN CLARK
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Credential | LMSW
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Telephone | 319-239-8831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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