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NPI 1376564039

NPI 1376564039 : COUNTY OF OGLE : OREGON, IL

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General NPI Number Information
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    NPI Number           |    1376564039
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    Entity Type          |    Organization 
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    Legal Business Name  |    COUNTY OF OGLE 
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Dates
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    Enumeration Date     |    07/21/2006
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    Last Update Date     |    11/22/2024
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Provider Practice Location Address
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    Address Line         |    907 PINES RD 
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    City                 |    OREGON
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    State                |    IL
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    Zip                  |    61061-9006
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    Country              |    US
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    Telephone            |    815-562-6976
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    Fax                  |    815-732-7458
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Provider Business Mailing Address
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    Address Line         |    907 W PINES RD 
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    City                 |    OREGON
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    State                |    IL
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    Zip                  |    61061-9067
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    Country              |    US
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    Telephone            |    815-732-7330
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    Fax                  |    815-732-7458
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Authorized Official
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    Title or Position    |    PUBLIC HEALTH ADMINISTRATOR
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    Name                 |     MELISSA  SPANGLER 
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    Credential           |    MHA
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    Telephone            |    815-562-6976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QF0050X
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    Taxonomy Name        |    Non-Surgical Family Planning Clinic/Center
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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        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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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        |    261QP0905X
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    Taxonomy Name        |    State or Local Public Health Clinic/Center
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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        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    NA
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    License Number State |    IL
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