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General NPI Number Information
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NPI Number | 1154215291
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Entity Type | Organization
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Legal Business Name | SAINT FRANCIS MEDICAL CENTER
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 530 NE GLEN OAK AVE
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City | PEORIA
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State | IL
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Zip | 61637-0001
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Country | US
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Telephone | 309-655-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 124 SW ADAMS ST
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City | PEORIA
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State | IL
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Zip | 61602-1308
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Country | US
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Telephone | 309-655-2850
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Fax |
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Authorized Official
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Title or Position | CFO, OSF HEALTHCARE SYSTEM
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Name | KIRSTEN MARIE LARGENT
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Credential |
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Telephone | 309-308-5255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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