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General NPI Number Information
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NPI Number | 1982657490
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Entity Type | Organization
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Legal Business Name | EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 1301 CENTER ST
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City | DES MOINES
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State | IA
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Zip | 50309-1004
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Country | US
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Telephone | 515-243-5181
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Fax | 515-243-2760
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Provider Business Mailing Address
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Address Line | 1301 CENTER ST
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City | DES MOINES
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State | IA
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Zip | 50309-1004
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Country | US
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Telephone | 515-243-5181
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Fax | 515-243-2760
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Authorized Official
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Title or Position | CEO
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Name | CYNTHIA STEIDL-BISHOP
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Credential |
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Telephone | 515-235-8852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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