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General NPI Number Information
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NPI Number | 1255367843
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Entity Type | Organization
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Legal Business Name | LIFEWATCH SERVICES, INC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 10255 W HIGGINS RD SUITE 100
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City | ROSEMONT
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State | IL
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Zip | 60018-5606
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Country | US
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Telephone | 847-720-2100
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Fax | 847-720-2111
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Provider Business Mailing Address
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Address Line | 10255 W HIGGINS RD SUITE 100
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City | ROSEMONT
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State | IL
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Zip | 60018-5606
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Country | US
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Telephone | 847-720-2100
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Fax | 847-720-2111
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | THOMAS MCNAMARA
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Credential |
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Telephone | 610-729-0504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | 06-607
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License Number State | IL
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