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General NPI Number Information
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NPI Number | 1134270812
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Entity Type | Organization
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Legal Business Name | CITY OF MONMOUTH
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 600 S MAIN ST
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City | MONMOUTH
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State | IL
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Zip | 61462-2650
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Country | US
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Telephone | 309-734-8428
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Fax | 309-734-7934
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Provider Business Mailing Address
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Address Line | 100 E BROADWAY
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City | MONMOUTH
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State | IL
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Zip | 61462-1764
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Country | US
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Telephone | 309-734-2141
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Fax | 309-734-4943
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Authorized Official
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Title or Position | CITY ADMINISTRATOR
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Name | MS. SHANNON THOMPSON
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Credential |
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Telephone | 309-734-2141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1723007
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License Number State | IL
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