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General NPI Number Information
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NPI Number | 1679238562
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 1454 N COUNTY ROAD 2050 E
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City | CARTHAGE
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State | IL
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Zip | 62321-3551
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Country | US
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Telephone | 217-357-8500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160
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City | CARTHAGE
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State | IL
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Zip | 62321-0160
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Country | US
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Telephone | 217-357-8500
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | TERESA SMITH
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Credential |
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Telephone | 217-357-8573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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