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General NPI Number Information
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NPI Number | 1376740910
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Entity Type | Organization
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Legal Business Name | RURAL HEALTH CLINIC GREENUP
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 302 N MILL
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City | GREENUP
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State | IL
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Zip | 62428-0817
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Country | US
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Telephone | 217-923-3311
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 817
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City | GREENUP
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State | IL
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Zip | 62428-0817
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Country | US
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Telephone | 217-923-3311
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. LINDA K DARLING
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Credential |
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Telephone | 217-923-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | IL
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