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General NPI Number Information
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NPI Number | 1730511379
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Entity Type | Organization
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Legal Business Name | SWEDISHAMERICAN HOSPITAL
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 3535 N BELL SCHOOL RD
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City | ROCKFORD
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State | IL
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Zip | 61114
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Country | US
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Telephone | 779-696-9400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 78866
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City | MILWAUKEE
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State | WI
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Zip | 53278-8866
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | DON DANIELS
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Credential |
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Telephone | 815-961-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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