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General NPI Number Information
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NPI Number | 1437314952
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Entity Type | Organization
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Legal Business Name | OSF SAINT FRANCIS, INC
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 1505 EASTLAND DR SUITE 1200
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City | BLOOMINGTON
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State | IL
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Zip | 61701-3534
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Country | US
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Telephone | 309-665-4765
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Fax |
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Provider Business Mailing Address
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Address Line | 2265 W ALTORFER DR
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City | PEORIA
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State | IL
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Zip | 61615-1807
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Country | US
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Telephone | 309-665-4765
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AUGUST J QUERCIAGROSSA
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Credential |
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Telephone | 309-683-7850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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