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General NPI Number Information
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NPI Number | 1922190024
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Entity Type | Organization
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Legal Business Name | SARAH BUSH LINCOLN HEALTH CENTER
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 700 W LINCOLN AVE STE 100
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City | CHARLESTON
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State | IL
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Zip | 61920-2468
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Country | US
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Telephone | 800-879-3212
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Fax | 217-345-1098
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Provider Business Mailing Address
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Address Line | 700 W LINCOLN AVE STE 100
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City | CHARLESTON
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State | IL
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Zip | 61920-2468
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Country | US
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Telephone | 800-879-3212
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Fax | 217-345-1098
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Authorized Official
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Title or Position | VP FINANCE AND CFO
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Name | SEAN FISCHER
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Credential |
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Telephone | 217-258-2591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1008804
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License Number State | IL
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