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General NPI Number Information
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NPI Number | 1063710374
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Entity Type | Organization
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Legal Business Name | ADVANCED PRACTICE CARE CONSULTANTS LTD
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 05/28/2012
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Provider Practice Location Address
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Address Line | 1000 GREENDALE AVE
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City | PARK RIDGE
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State | IL
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Zip | 60068-2053
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Country | US
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Telephone | 847-420-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 GREENDALE AVE
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City | PARK RIDGE
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State | IL
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Zip | 60068-2053
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Country | US
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Telephone | 847-420-5100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARIA CATALDO
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Credential | APN NP
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Telephone | 847-420-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209005089
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License Number State | IL
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