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General NPI Number Information
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NPI Number | 1851757488
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Entity Type | Organization
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Legal Business Name | GERMAN INSURANCE AGENCY
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 850 S STATE STREET
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City | JERSEYVILLE
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State | IL
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Zip | 62052
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Country | US
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Telephone | 618-498-6123
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Fax | 618-498-6120
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Provider Business Mailing Address
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Address Line | 850 S STATE ST
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City | JERSEYVILLE
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State | IL
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Zip | 62052-2343
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Country | US
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Telephone | 618-498-6123
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Fax | 618-498-6120
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Authorized Official
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Title or Position | AGENT
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Name | GREGORY RINGHAUSEN
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Credential |
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Telephone | 618-616-3783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 2162081
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License Number State | IL
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