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General NPI Number Information
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NPI Number | 1528925666
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Entity Type | Organization
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Legal Business Name | THE BLEEDING AND CLOTTING DISORDERS INSTITUTE
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 427 W NORTHMOOR RD
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City | PEORIA
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State | IL
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Zip | 61614-3542
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Country | US
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Telephone | 309-692-5337
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Fax | 309-693-3913
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Provider Business Mailing Address
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Address Line | 427 W NORTHMOOR RD
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City | PEORIA
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State | IL
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Zip | 61614-3542
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Country | US
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Telephone | 309-692-5337
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Fax | 309-693-3913
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Authorized Official
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Title or Position | CFO
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Name | WENDY FERRILL
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Credential |
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Telephone | 309-692-5337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number |
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License Number State |
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