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General NPI Number Information
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NPI Number | 1952284176
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Entity Type | Individual
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Provider Name | GINGER SUE VERMILLION
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Gender | Female
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 1417 300TH ST
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City | NORTHBORO
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State | IA
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Zip | 51647-4507
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Country | US
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Telephone | 712-246-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 W LOWELL AVE APT 1
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City | SHENANDOAH
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State | IA
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Zip | 51601-1068
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Country | US
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Telephone | 712-246-8423
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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