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General NPI Number Information
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NPI Number | 1093249641
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Entity Type | Organization
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Legal Business Name | EAST CHICAGO HEALTH DEPARTMENT
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 100 W CHICAGO AVE
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City | EAST CHICAGO
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State | IN
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Zip | 46312-3260
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Country | US
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Telephone | 219-391-8467
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Fax | 219-391-8494
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Provider Business Mailing Address
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Address Line | 100 W CHICAGO AVE
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City | EAST CHICAGO
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State | IN
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Zip | 46312-3260
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Country | US
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Telephone | 219-391-8467
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Fax | 219-391-8494
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | DR. GERRI C. BROWNING
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Credential | M.D.
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Telephone | 219-391-8467
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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 | 01033136A
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License Number State | IN
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