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General NPI Number Information
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NPI Number | 1003929977
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Entity Type | Organization
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Legal Business Name | PLANNED ELDERCARE INC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 330 LEXINGTON DR
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-6933
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Country | US
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Telephone | 847-495-7000
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Fax | 847-495-7040
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Provider Business Mailing Address
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Address Line | 330 LEXINGTON DR
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-6933
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Country | US
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Telephone | 847-495-7000
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Fax | 847-495-7040
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | GARY WINNER
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Credential |
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Telephone | 847-495-7005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 203000545
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License Number State | IL
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