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General NPI Number Information
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NPI Number | 1588817530
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Entity Type | Organization
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Legal Business Name | CASS COUNTY MENTAL HEALTH
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 121 E 2ND ST BEARDSTOWN
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City | BEARDSTOWN
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State | IL
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Zip | 62618-1263
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Country | US
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Telephone | 217-323-2980
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Fax | 217-323-3731
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Provider Business Mailing Address
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Address Line | 121 E 2ND ST BEARDSTOWN
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City | BEARDSTOWN
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State | IL
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Zip | 62618-1263
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Country | US
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Telephone | 217-323-2980
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Fax | 217-323-3731
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Authorized Official
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Title or Position | BILLING CLERK
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Name | MRS. KAREN JEAN HANCE
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Credential |
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Telephone | 217-323-2980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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