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General NPI Number Information
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NPI Number | 1972845022
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Entity Type | Organization
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Legal Business Name | IOWA EDUCATIONAL SERVICES FOR THE BLIND AND VISUALLY IMPAIRED
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 1002 G AVE
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City | VINTON
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State | IA
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Zip | 52349-1341
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Country | US
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Telephone | 319-472-5221
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Fax | 319-472-5174
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Provider Business Mailing Address
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Address Line | 1002 G AVE
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City | VINTON
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State | IA
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Zip | 52349-1341
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Country | US
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Telephone | 319-472-5221
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Fax | 319-472-5174
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS OPERATIONS
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Name | DONALD BODDICKER
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Credential |
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Telephone | 319-472-5221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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