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General NPI Number Information
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NPI Number | 1023389848
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Entity Type | Organization
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Legal Business Name | ALTRUS LLC
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 119 DAVIS RD STE 2B
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City | AUGUSTA
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State | GA
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Zip | 30907-0207
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Country | US
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Telephone | 912-354-6011
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Fax |
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Provider Business Mailing Address
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Address Line | 33 S STATE ST FL 5
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City | CHICAGO
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State | IL
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Zip | 60603-2804
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Country | US
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Telephone | 312-762-9999
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Fax |
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Authorized Official
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Title or Position | ASST. GENERAL COUNSEL
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Name | RUSTY CHIZHEVSKY
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Credential |
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Telephone | 847-840-1894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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