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General NPI Number Information
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NPI Number | 1003099979
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Entity Type | Organization
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Legal Business Name | COUNTY OF WARREN
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 400 N MAIN ST
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City | MONMOUTH
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State | IL
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Zip | 61462-1745
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Country | US
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Telephone | 309-734-1314
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Fax | 309-734-1315
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Provider Business Mailing Address
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Address Line | 400 NORTH MAIN PO BOX 198
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City | MONMOUTH
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State | IL
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Zip | 61462
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Country | US
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Telephone | 309-734-1314
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Fax | 309-734-1315
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JENNA R LINK
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Credential |
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Telephone | 309-734-1314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | IL
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