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General NPI Number Information
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NPI Number | 1013063312
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Entity Type | Organization
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Legal Business Name | LEXINGTON PRIVATE CARE SERVICES, INC
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 665 W NORTH AVE STE 400-B
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City | LOMBARD
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State | IL
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Zip | 60148
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Country | US
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Telephone | 630-748-3700
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Fax | 630-748-3701
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Provider Business Mailing Address
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Address Line | 665 W NORTH AVE STE 400-B
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City | LOMBARD
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State | IL
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Zip | 60148-1189
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Country | US
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Telephone | 630-748-3700
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Fax | 630-748-3701
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Authorized Official
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Title or Position | VP FIANCE
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Name | MR. MARK BARTHELT
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Credential | CPA
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Telephone | 630-652-7915
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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 | 3000168
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 203.000700
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 4000123
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License Number State | IL
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