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General NPI Number Information
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NPI Number | 1083091888
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Entity Type | Organization
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Legal Business Name | ZEST HEALTH, LLC
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 04/30/2015
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Provider Practice Location Address
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Address Line | 444 N MICHIGAN AVE SUITE 2880
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City | CHICAGO
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State | IL
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Zip | 60611-3903
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Country | US
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Telephone | 312-357-5180
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Fax |
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Provider Business Mailing Address
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Address Line | 444 N MICHIGAN AVE SUITE 2880
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City | CHICAGO
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State | IL
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Zip | 60611-3903
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Country | US
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Telephone | 312-357-5180
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Fax |
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Authorized Official
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Title or Position | CTO
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Name | LARRY TRUSKY
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Credential |
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Telephone | 312-357-5180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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