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General NPI Number Information
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NPI Number | 1649261587
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Entity Type | Organization
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Legal Business Name | COUNTY OF CALHOUN
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 210 FRENCH STREET
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City | HARDIN
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State | IL
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Zip | 62047-0158
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Country | US
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Telephone | 618-576-2428
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Fax | 618-576-9391
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Provider Business Mailing Address
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Address Line | PO BOX 158
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City | HARDIN
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State | IL
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Zip | 62047-0158
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Country | US
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Telephone | 618-576-2428
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Fax | 618-576-9391
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Authorized Official
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Title or Position | PUBLIC HEALTH ADMINISTRATOR
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Name | MRS. SANDY TEICHMANN
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Credential | RN
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Telephone | 618-576-2428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1664162
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License Number State | IL
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