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General NPI Number Information
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NPI Number | 1538865241
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Entity Type | Organization
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Legal Business Name | ROCKFORD FAMILY PLANNING FOUNDATION
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 4236 MARAY DR
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City | ROCKFORD
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State | IL
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Zip | 61107-4964
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Country | US
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Telephone | 779-500-0791
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 44007
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City | MADISON
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State | WI
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Zip | 53744-4007
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Country | US
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Telephone | 608-345-2258
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEANNE BISSELL
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Credential |
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Telephone | 608-345-2588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VC0300X
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Taxonomy Name | Complex Family Planning Physician
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License Number |
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License Number State |
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