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General NPI Number Information
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NPI Number | 1447459110
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Entity Type | Organization
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Legal Business Name | WINNEBAGO COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 555 N COURT ST
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City | ROCKFORD
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State | IL
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Zip | 61103-6862
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Country | US
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Telephone | 815-720-4200
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Fax | 815-720-4001
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Provider Business Mailing Address
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Address Line | PO BOX 4009
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City | ROCKFORD
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State | IL
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Zip | 61110-0509
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Country | US
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Telephone | 815-720-4000
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Fax | 815-720-4001
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Authorized Official
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Title or Position | PUBLIC HEALTH ADMINISTRATOR
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Name | DR. SANDRA MARTELL
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Credential | RN, DNP
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Telephone | 815-720-4210
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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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