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General NPI Number Information
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NPI Number | 1184895500
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Entity Type | Organization
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Legal Business Name | COUNTY OF SANGAMON
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 08/02/2010
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Provider Practice Location Address
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Address Line | 2833 SOUTH GRAND AVENUE EAST
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City | SPRINGFIELD
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State | IL
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Zip | 62703
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Country | US
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Telephone | 217-535-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 2833 SOUTH GRAND AVENUE EAST
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City | SPRINGFIELD
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State | IL
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Zip | 62703
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Country | US
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Telephone | 217-535-3100
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PUBLIC HEALTH
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Name | JAMES D STONE
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Credential | M.A.
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Telephone | 217-535-3100
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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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