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General NPI Number Information
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NPI Number | 1861307555
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Entity Type | Organization
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Legal Business Name | EDWARD HOSPITAL
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 24600 W 127TH ST
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City | PLAINFIELD
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State | IL
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Zip | 60585-9507
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Country | US
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Telephone | 630-527-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S WASHINGTON ST
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City | NAPERVILLE
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State | IL
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Zip | 60540-7430
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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 | SYSTEM VP PFS
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Name | SHAUN WALDER
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Credential |
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Telephone | 630-646-3702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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