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NPI 1154337962

NPI 1154337962 : NURSES ON CALLS, INC. : BOLINGBROOK, IL

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General NPI Number Information
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    NPI Number           |    1154337962
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    Entity Type          |    Organization 
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    Legal Business Name  |    NURSES ON CALLS, INC. 
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Dates
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    Enumeration Date     |    08/01/2006
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    Last Update Date     |    05/31/2022
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Provider Practice Location Address
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    Address Line         |    1475 BASSWOOD DR 
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    City                 |    BOLINGBROOK
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    State                |    IL
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    Zip                  |    60490
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    Country              |    US
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    Telephone            |    630-759-0069
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    Fax                  |    630-759-0327
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Provider Business Mailing Address
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    Address Line         |    1475 BASSWOOD DR 
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    City                 |    BOLINGBROOK
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    State                |    IL
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    Zip                  |    60490-5419
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    Country              |    US
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    Telephone            |    630-759-0069
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    Fax                  |    630-759-0327
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. SYLVERE ROLAND MALONGA 
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    Credential           |    RN,MSN
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    Telephone            |    630-759-0063
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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       |    1010232
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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