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General NPI Number Information
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NPI Number | 1073731709
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Entity Type | Organization
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Legal Business Name | PARKWAY CENTER
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1801 AVENUE G
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City | STERLING
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State | IL
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Zip | 61081-1100
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Country | US
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Telephone | 815-626-1121
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Fax | 815-626-6049
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Provider Business Mailing Address
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Address Line | 1801 AVENUE G
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City | STERLING
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State | IL
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Zip | 61081-1100
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Country | US
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Telephone | 815-626-1121
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Fax | 815-626-6049
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARLA DRURY
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Credential |
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Telephone | 815-626-1121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 0035444
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License Number State | IL
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