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General NPI Number Information
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NPI Number | 1386881290
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Entity Type | Organization
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Legal Business Name | ADVENTIST GLENOAKS HOSPITAL
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 701 WINTHROP AVE
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-1405
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Country | US
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Telephone | 630-545-7310
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Fax | 630-545-7315
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Provider Business Mailing Address
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Address Line | 701 WINTHROP AVE
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-1405
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Country | US
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Telephone | 630-545-7310
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Fax | 630-545-7315
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KYLE GLASS
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Credential |
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Telephone | 407-454-2716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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