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General NPI Number Information
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NPI Number | 1356526040
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Entity Type | Organization
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Legal Business Name | PARTNERS IN HEALTH OF STERLING
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Dates
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Enumeration Date | 01/01/2008
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Last Update Date | 01/01/2008
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Provider Practice Location Address
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Address Line | 2605 WOODLAWN RD SUITE 3
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City | STERLING
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State | IL
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Zip | 61081-4174
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Country | US
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Telephone | 815-626-0212
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Fax | 815-622-3267
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Provider Business Mailing Address
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Address Line | 2605 WOODLAWN RD SUITE 3
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City | STERLING
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State | IL
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Zip | 61081-4174
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Country | US
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Telephone | 815-626-0212
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Fax | 815-622-3267
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY GRANT BOERGER
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Credential | DC
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Telephone | 815-626-0212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | IL
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