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General NPI Number Information
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NPI Number | 1275764144
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Entity Type | Organization
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Legal Business Name | UNLIMITED ADVACARE SYSTEMS INC
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 1789 E 45TH ST
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City | CLEVELAND
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State | OH
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Zip | 44103-2318
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Country | US
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Telephone | 440-884-5331
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Fax | 440-884-7786
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Provider Business Mailing Address
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Address Line | 2939 N PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60641-5421
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Country | US
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Telephone | 773-725-8858
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Fax | 773-304-9996
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Authorized Official
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Title or Position | CEO / PRESIDENT
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Name | LARRY FELDMAN
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Credential |
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Telephone | 773-725-8858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | HMER.22030
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License Number State | OH
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