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General NPI Number Information
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NPI Number | 1619237203
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Entity Type | Organization
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Legal Business Name | ADVOCATE HEALTH CARE
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 1775 W DEMPSTER ST
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City | PARK RIDGE
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State | IL
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Zip | 60068-1143
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Country | US
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Telephone | 847-723-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 87 ASHCROFT LANE UNIT D1
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City | SCHAUMBURG
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State | IL
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Zip | 60193
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Country | US
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Telephone | 847-923-1285
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Fax |
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Authorized Official
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Title or Position | APN, ACNS
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Name | MS. NANCY SUE POELING
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Credential | APN
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Telephone | 847-723-2210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 209.009309
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License Number State | IL
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