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General NPI Number Information
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NPI Number | 1891001723
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Entity Type | Organization
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Legal Business Name | FORD COUNTY COURT SERVICES
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 200 W STATE ST
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City | PAXTON
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State | IL
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Zip | 60957-1179
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Country | US
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Telephone | 217-379-9450
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Fax |
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Provider Business Mailing Address
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Address Line | 200 W STATE ST
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City | PAXTON
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State | IL
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Zip | 60957-1179
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Country | US
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Telephone | 217-379-9450
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Fax |
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Authorized Official
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Title or Position | CHIEF DEPUTY
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Name | KASI SCHWARZ
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Credential |
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Telephone | 217-379-9450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | IL
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