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General NPI Number Information
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NPI Number | 1386815231
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Entity Type | Organization
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Legal Business Name | NORTHWEST COMMUNITY HEALTHCARE
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 3060 W SALT CREEK LN
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-5026
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Country | US
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Telephone | 847-618-1000
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Fax | 847-618-5009
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Provider Business Mailing Address
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Address Line | 3060 W SALT CREEK LN
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-5026
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Country | US
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Telephone | 847-618-1000
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Fax | 847-618-5009
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. MICHAEL B ZENN
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Credential |
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Telephone | 847-618-5017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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