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General NPI Number Information
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NPI Number | 1952619199
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Entity Type | Organization
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Legal Business Name | YWCA MCLEAN COUNTY
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 09/22/2010
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Provider Practice Location Address
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Address Line | 1201 N HERSHEY RD
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City | BLOOMINGTON
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State | IL
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Zip | 61704-3619
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Country | US
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Telephone | 309-662-0461
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Fax | 309-662-4506
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Provider Business Mailing Address
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Address Line | 1201 N HERSHEY RD
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City | BLOOMINGTON
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State | IL
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Zip | 61704-3619
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Country | US
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Telephone | 309-662-0461
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Fax | 309-662-4506
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. JANE CHAMBERLAIN
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Credential |
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Telephone | 309-662-0461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | IL
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