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General NPI Number Information
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NPI Number | 1124257308
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Entity Type | Organization
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Legal Business Name | ADAPTIVE NURSING AND HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 1502 MAGNAVOX WAY SUITE 200
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City | FORT WAYNE
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State | IN
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Zip | 46804-1651
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Country | US
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Telephone | 260-245-3556
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Fax | 260-454-2122
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Provider Business Mailing Address
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Address Line | 33 S STATE ST FL 5
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City | CHICAGO
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State | IL
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Zip | 60603-2804
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Country | US
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Telephone | 312-762-9999
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Fax |
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | JOSEPH BONACCORSI
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Credential |
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Telephone | 312-762-9999
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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 | 10-012100-1
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License Number State | IN
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