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General NPI Number Information
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NPI Number | 1376254813
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Entity Type | Organization
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Legal Business Name | SWEDISHAMERICAN HOSPTIAL
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 1301 N ALPINE RD STE 201
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City | ROCKFORD
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State | IL
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Zip | 61107-2262
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Country | US
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Telephone | 779-696-0700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 78866
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City | MILWAUKEE
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State | WI
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Zip | 53278-8866
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Country | US
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Telephone | 779-696-7150
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | PATRICIA DEWANE
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Credential |
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Telephone | 779-696-4009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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