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General NPI Number Information
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NPI Number | 1518360411
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Entity Type | Organization
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Legal Business Name | ADVENTIST HEALTH PARTNERS, INC.
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Dates
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Enumeration Date | 10/06/2014
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Last Update Date | 06/14/2017
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Provider Practice Location Address
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Address Line | 7425 JANES AVE STE 204
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City | WOODRIDGE
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State | IL
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Zip | 60517-2356
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Country | US
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Telephone | 630-861-6680
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Fax |
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Provider Business Mailing Address
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Address Line | 7425 JANES AVE STE 204
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City | WOODRIDGE
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State | IL
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Zip | 60517-2356
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | RUBY MANN
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Credential |
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Telephone | 630-856-6884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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