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General NPI Number Information
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NPI Number | 1003513235
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Entity Type | Organization
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Legal Business Name | 3 NET WISE, INC.
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 10 S RIVERSIDE PLZ STE 875
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City | CHICAGO
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State | IL
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Zip | 60606-3717
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Country | US
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Telephone | 312-474-6429
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Fax |
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Provider Business Mailing Address
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Address Line | 10 S RIVERSIDE PLZ STE 875
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City | CHICAGO
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State | IL
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Zip | 60606-3717
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Country | US
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Telephone | 312-316-2767
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Fax |
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Authorized Official
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Title or Position | FOUNDER & CEO
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Name | MR. SHERROD ALA WOODS
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Credential |
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Telephone | 312-316-2767
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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 |
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License Number State |
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