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General NPI Number Information
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NPI Number | 1780665133
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Entity Type | Organization
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Legal Business Name | H. DOUGLAS SINGER MENTAL HEALTH CENTER
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4402 N MAIN ST
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City | ROCKFORD
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State | IL
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Zip | 61103-1278
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Country | US
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Telephone | 815-987-7096
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Fax | 815-987-7688
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Provider Business Mailing Address
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Address Line | 4402 N MAIN ST
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City | ROCKFORD
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State | IL
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Zip | 61103-1278
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Country | US
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Telephone | 815-987-7096
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Fax | 815-987-7688
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Authorized Official
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Title or Position | HOSPITAL ADMINISTRATOR
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Name | MR. MOHAMMED YUNUS
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Credential |
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Telephone | 815-987-7778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | IL
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