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General NPI Number Information
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NPI Number | 1093997413
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Entity Type | Organization
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Legal Business Name | THE HOSPITAL PARTIAL
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 1212 N LAKE SHORE DR
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City | CHICAGO
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State | IL
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Zip | 60610-2371
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Country | US
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Telephone | 312-222-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 1212 N LAKE SHORE DR
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City | CHICAGO
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State | IL
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Zip | 60610-2371
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BILL SMITH JONES
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Credential |
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Telephone | 312-222-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 99999
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License Number State | IL
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