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General NPI Number Information
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NPI Number | 1215110903
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Entity Type | Organization
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Legal Business Name | HAMILTON COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | COURTHOUSE ROOM 5
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City | MCLEANSBORO
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State | IL
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Zip | 62859
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Country | US
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Telephone | 618-643-3522
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N JACKSON
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City | MCLEANSBORO
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State | IL
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Zip | 62859
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Country | US
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Telephone | 618-643-3522
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Fax | 618-643-2390
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | BRENDA LEDFORD
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Credential |
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Telephone | 618-643-3522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | IL
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