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General NPI Number Information
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NPI Number | 1336306935
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Entity Type | Organization
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Legal Business Name | SWEDISHAMERICAN HOSPITAL
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 101 W 2ND ST SUITE 130
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City | DIXON
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State | IL
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Zip | 61021-3076
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Country | US
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Telephone | 815-288-0071
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1567
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City | ROCKFORD
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State | IL
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Zip | 61110-0067
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | DON DANIELS
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Credential |
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Telephone | 815-966-2084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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