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General NPI Number Information
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NPI Number | 1013071653
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Entity Type | Organization
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Legal Business Name | THE CARLE FOUNDATION HOSPITAL
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 611 W PARK ST
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City | URBANA
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State | IL
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Zip | 61801
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Country | US
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Telephone | 217-326-2955
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Fax | 217-326-2996
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Provider Business Mailing Address
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Address Line | 611 W PARK ST
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City | URBANA
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State | IL
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Zip | 61801-2500
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Country | US
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Telephone | 217-326-2955
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Fax | 217-326-2996
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Authorized Official
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Title or Position | CEO
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Name | DR. JAMES C LEONARD
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Credential |
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Telephone | 217-383-3221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0003798
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License Number State | IL
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