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General NPI Number Information
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NPI Number | 1265871099
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Entity Type | Organization
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Legal Business Name | VOYAGE MANAGEMENT SERVICES, INC.
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 06/14/2013
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Provider Practice Location Address
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Address Line | 311 E MAIN ST STE 202
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City | GALESBURG
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State | IL
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Zip | 61401-4886
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Country | US
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Telephone | 309-228-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 14411 RED GRV
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5911
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | LISA KLAES
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Credential |
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Telephone | 210-412-7849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3001011
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License Number State | IL
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