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General NPI Number Information
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NPI Number | 1093898801
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Entity Type | Organization
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Legal Business Name | HEALTH PROGRESS, INC.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 105 E NAVAHO AVE
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City | SHABBONA
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State | IL
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Zip | 60550-0329
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Country | US
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Telephone | 815-824-2124
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Fax | 815-824-2126
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Provider Business Mailing Address
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Address Line | PO BOX 329 105 E NAVAHO AVE
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City | SHABBONA
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State | IL
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Zip | 60550-0329
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Country | US
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Telephone | 815-824-2124
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Fax | 815-824-2126
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Authorized Official
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Title or Position | VICE PRESIDENT BUSINESS DEVELOPMENT
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Name | MR. JOSEPH DANT
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Credential |
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Telephone | 815-756-1521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | IL
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