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General NPI Number Information
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NPI Number | 1184586067
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Entity Type | Organization
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Legal Business Name | DV GUARDIAN SERVICES LLC
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 1307 W LINCOLN HWY APT 3102
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City | DEKALB
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State | IL
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Zip | 60115-2931
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Country | US
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Telephone | 815-556-9712
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 W LINCOLN HWY APT 3102
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City | DEKALB
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State | IL
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Zip | 60115-2931
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Country | US
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Telephone | 815-556-9712
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DAMESIHA S VANCE
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Credential |
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Telephone | 708-781-8789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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