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NPI 1811441371

NPI 1811441371 : HUMAN RESOURCES CENTER OF EDGAR AND CLARK COUNTIES : PARIS, IL

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General NPI Number Information
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    NPI Number           |    1811441371
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUMAN RESOURCES CENTER OF EDGAR AND CLARK COUNTIES 
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Dates
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    Enumeration Date     |    08/12/2016
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    Last Update Date     |    08/12/2016
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Provider Practice Location Address
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    Address Line         |    118 E COURT ST 
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    City                 |    PARIS
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    State                |    IL
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    Zip                  |    61944-2210
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    Country              |    US
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    Telephone            |    217-465-4118
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    Fax                  |    217-463-1899
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Provider Business Mailing Address
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    Address Line         |    118 E COURT ST P. O. BOX 1118
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    City                 |    PARIS
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    State                |    IL
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    Zip                  |    61944-2210
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    Country              |    US
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    Telephone            |    217-465-4118
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    Fax                  |    217-463-1899
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MR. KENNETH A. POLKY 
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    Credential           |    
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    Telephone            |    217-465-4118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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