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General NPI Number Information
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NPI Number | 1194918490
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Entity Type | Organization
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Legal Business Name | BELOIT HEALTH SYSTEM INC
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 5605 E ROCKTON RD
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City | ROSCOE
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State | IL
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Zip | 61073-7601
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Country | US
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Telephone | 608-364-5123
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 E HUEBBE PKWY 5TH FLOOR, #5023
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City | BELOIT
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State | WI
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Zip | 53511-2230
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Country | US
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Telephone | 608-364-1615
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, REVENUE CYCLE
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Name | JULIA F EGEBRECHT
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Credential |
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Telephone | 608-364-1615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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