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General NPI Number Information
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NPI Number | 1740725340
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Entity Type | Organization
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Legal Business Name | HANCOCK COUNTY SENIOR SERVICES
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 404 S ADAMS STREET
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City | CARTHAGE
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State | IL
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Zip | 62321
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Country | US
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Telephone | 217-357-8800
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Fax | 217-357-6594
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Provider Business Mailing Address
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Address Line | 404 S ADAMS STREET
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City | CARTHAGE
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State | IL
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Zip | 62321
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Country | US
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Telephone | 217-357-8800
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Fax | 217-357-6594
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Authorized Official
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Title or Position | CEO
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Name | MS. ADA BAIR
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Credential |
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Telephone | 217-357-8566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | IL
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