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General NPI Number Information
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NPI Number | 1942114251
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Entity Type | Organization
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Legal Business Name | SINNISSIPPI CENTERS, INC.
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 524 W STEPHENSON ST
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City | FREEPORT
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State | IL
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Zip | 61032-5057
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Country | US
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Telephone | 815-284-6611
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Fax | 815-284-6642
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Provider Business Mailing Address
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Address Line | 524 W STEPHENSON ST
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City | FREEPORT
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State | IL
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Zip | 61032-5057
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Country | US
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Telephone | 815-284-6611
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Fax | 815-284-6642
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Authorized Official
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Title or Position | VP/CFO
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Name | TERESA A GOOD
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Credential |
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Telephone | 815-284-6611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | NULL
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