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General NPI Number Information
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NPI Number | 1457539819
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH & EMERGENCY SERVICES, INC., DASA
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 13245 KESSLER RD
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City | CAIRO
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State | IL
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Zip | 62914-3101
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Country | US
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Telephone | 618-734-4400
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Fax | 618-734-2884
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Provider Business Mailing Address
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Address Line | 13245 KESSLER RD PO BOX 233
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City | CAIRO
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State | IL
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Zip | 62914-3101
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Country | US
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Telephone | 618-734-4400
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Fax | 618-734-2884
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. FREDERICK BERNSTEIN
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Credential |
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Telephone | 618-734-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | IL
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