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General NPI Number Information
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NPI Number | 1124171491
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Entity Type | Organization
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Legal Business Name | COUNTY OF SCOTT
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 335 W CHERRY ST
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City | WINCHESTER
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State | IL
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Zip | 62694-1029
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Country | US
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Telephone | 217-742-8203
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Fax | 217-742-8304
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Provider Business Mailing Address
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Address Line | 335 W CHERRY ST
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City | WINCHESTER
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State | IL
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Zip | 62694-1029
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Country | US
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Telephone | 217-742-8203
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Fax | 217-742-8304
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. STEVE SHIREMAN
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Credential |
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Telephone | 217-742-8203
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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 |
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License Number State |
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