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General NPI Number Information
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NPI Number | 1982601688
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Entity Type | Organization
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Legal Business Name | ALBERT CITY IMPROVEMENT CORP
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 410 SPRUCE ST
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City | ALBERT CITY
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State | IA
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Zip | 50510-1312
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Country | US
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Telephone | 712-843-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 410 SPRUCE ST
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City | ALBERT CITY
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State | IA
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Zip | 50510-1312
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAVIS L. LOVING
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Credential |
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Telephone | 712-843-2237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 110376
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License Number State | IA
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