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General NPI Number Information
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NPI Number | 1730842873
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Entity Type | Organization
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Legal Business Name | JERSEY COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 10/15/2021
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1307 STATE HIGHWAY 109
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City | JERSEYVILLE
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State | IL
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Zip | 62052-2396
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Country | US
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Telephone | 618-498-9565
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 STATE HIGHWAY 109
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City | JERSEYVILLE
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State | IL
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Zip | 62052-2396
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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 | PUBLIC HEALTH ADMINISTRATOR
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Name | HEIDI CARTER
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Credential | RN
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Telephone | 618-498-9565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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