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General NPI Number Information
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NPI Number | 1053626697
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Entity Type | Organization
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Legal Business Name | HEALTHVUE INC
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Dates
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Enumeration Date | 08/06/2010
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Last Update Date | 08/06/2010
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Provider Practice Location Address
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Address Line | 2015 ROUTE 34 UNIT J
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City | OSWEGO
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State | IL
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Zip | 60543-8641
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Country | US
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Telephone | 630-868-6748
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 ROUTE 34 UNIT J
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City | OSWEGO
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State | IL
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Zip | 60543-8641
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS MERCE D FAUSTINO
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Credential | MBA, PT
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Telephone | 630-868-6748
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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 | 1993152
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License Number State | IL
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