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General NPI Number Information
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NPI Number | 1447200746
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Entity Type | Organization
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Legal Business Name | MADISON COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 105 ARMORY ST
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City | FREDERICKTOWN
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State | MO
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Zip | 63645-1341
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Country | US
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Telephone | 573-783-2747
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Fax | 573-783-8039
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Provider Business Mailing Address
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Address Line | 105 ARMORY ST
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City | FREDERICKTOWN
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State | MO
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Zip | 63645-1341
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Country | US
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Telephone | 573-783-2747
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Fax | 573-783-8039
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | ALICA K WHITE
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Credential |
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Telephone | 573-783-2747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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