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General NPI Number Information
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NPI Number | 1053637264
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Entity Type | Organization
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Legal Business Name | A CARING TOUCH OF MCLEAN COUNTY, INC.
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 04/13/2010
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Provider Practice Location Address
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Address Line | 315 N CENTER ST
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City | BLOOMINGTON
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State | IL
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Zip | 61701-3902
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Country | US
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Telephone | 309-828-1516
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Fax | 309-828-9211
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Provider Business Mailing Address
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Address Line | 315 N CENTER ST
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City | BLOOMINGTON
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State | IL
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Zip | 61701-3902
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Country | US
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Telephone | 309-828-1516
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Fax | 309-828-9211
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. WENDY M WERDERITS
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Credential | R.N.
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Telephone | 309-828-1516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3000131
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License Number State | IL
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