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General NPI Number Information
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NPI Number | 1538047899
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Entity Type | Organization
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Legal Business Name | ROCKFORD UNIVERSITY
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 5050 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61108-2311
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Country | US
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Telephone | 815-226-4083
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Fax | 815-226-3335
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Provider Business Mailing Address
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Address Line | 5050 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61108-2311
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Country | US
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Telephone | 815-226-4083
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Fax | 815-226-3335
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Authorized Official
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Title or Position | VP FOR FINANCE & CHIEF FINANCIAL OF
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Name | JOHN DIRAIMONDO
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Credential |
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Telephone | 815-226-4006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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