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General NPI Number Information
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NPI Number | 1255376836
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Entity Type | Organization
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Legal Business Name | REIGN MANAGEMENT GROUP, INC.
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 6124 WEST 63RD STREET
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City | CHICAGO
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State | IL
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Zip | 60638
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Country | US
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Telephone | 773-229-8400
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Fax | 773-229-0155
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Provider Business Mailing Address
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Address Line | 6124 WEST 63RD STREET
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City | CHICAGO
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State | IL
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Zip | 60638
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Country | US
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Telephone | 773-229-8400
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Fax | 773-229-0155
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. VICTORIA T. VENUSO
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Credential | R.N.
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Telephone | 773-229-8400
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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 | 1010145
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1011297
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License Number State | IL
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