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General NPI Number Information
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NPI Number | 1134169675
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Entity Type | Individual
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Provider Name | JAMES A. HEJMANOWSKI MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 100 E. LEFEVRE ROAD
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City | STERLING
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State | IL
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Zip | 61081-1279
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Country | US
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Telephone | 815-625-0400
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Fax | 815-625-2747
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Provider Business Mailing Address
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Address Line | 2221 ELM ST
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City | RAWLINS
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State | WY
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Zip | 82301-5108
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Country | US
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Telephone | 307-324-2221
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 9834A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036091862
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License Number State | IL
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