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General NPI Number Information
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NPI Number | 1013709997
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Entity Type | Organization
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Legal Business Name | THE CARE FOUNDATION HOSPITAL
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 221 N BROADWAY AVE STE 100
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City | URBANA
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State | IL
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Zip | 61801-2748
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Country | US
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Telephone | 217-383-8700
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Fax | 217-355-6789
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Provider Business Mailing Address
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Address Line | 221 N BROADWAY AVE STE 100
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City | URBANA
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State | IL
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Zip | 61801-2748
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Country | US
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Telephone | 217-383-8700
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Fax | 217-355-6789
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Authorized Official
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Title or Position | CAO
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Name | MATTHEW KOLB
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Credential |
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Telephone | 217-383-4337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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