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General NPI Number Information
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NPI Number | 1891937967
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Entity Type | Organization
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Legal Business Name | RANDOLPH COUNTY
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2515 STATE ST
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City | CHESTER
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State | IL
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Zip | 62233-1149
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Country | US
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Telephone | 618-826-5007
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Fax | 618-826-5223
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Provider Business Mailing Address
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Address Line | 2515 STATE ST
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City | CHESTER
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State | IL
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Zip | 62233-1149
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Country | US
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Telephone | 618-826-5007
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Fax | 618-826-5223
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KRISTA LEA RATHERT
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Credential |
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Telephone | 618-826-5007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | IL
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