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General NPI Number Information
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NPI Number | 1023528619
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Entity Type | Organization
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Legal Business Name | DIRECT HEALTHCARE SOLUTIONS LLC
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 10/09/2017
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Provider Practice Location Address
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Address Line | 1520 FRINGETREE LN
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City | WOODRIDGE
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State | IL
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Zip | 60517-4653
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Country | US
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Telephone | 708-275-6192
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 FRINGETREE LN
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City | WOODRIDGE
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State | IL
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Zip | 60517-4653
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Country | US
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Telephone | 708-275-6192
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TANYA LE
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Credential |
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Telephone | 708-275-6192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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