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NPI 1083110407

NPI 1083110407 : A MCFARLAND MENTAL HEALTH CENTER - LINCOLN NORTH : SPRINGFIELD, IL

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General NPI Number Information
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    NPI Number           |    1083110407
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    Entity Type          |    Organization 
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    Legal Business Name  |    A MCFARLAND MENTAL HEALTH CENTER - LINCOLN NORTH 
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Dates
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    Enumeration Date     |    04/04/2018
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    Last Update Date     |    04/04/2018
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Provider Practice Location Address
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    Address Line         |    901 E SOUTHWIND RD 
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    City                 |    SPRINGFIELD
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    State                |    IL
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    Zip                  |    62703-5125
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    Country              |    US
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    Telephone            |    217-786-6994
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    Fax                  |    217-786-0193
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Provider Business Mailing Address
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    Address Line         |    901 E SOUTHWIND RD 
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    City                 |    SPRINGFIELD
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    State                |    IL
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    Zip                  |    62703-5125
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    Country              |    US
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    Telephone            |    217-786-6994
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    Fax                  |    217-786-0193
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Authorized Official
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    Title or Position    |    HEALTH INFO ASSOCIATE
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    Name                 |    MRS. LISA  SAUNDERS 
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    Credential           |    
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    Telephone            |    217-786-6880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    273R00000X
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    Taxonomy Name        |    Psychiatric Hospital Unit
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    License Number       |    
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    License Number State |    
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