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General NPI Number Information
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NPI Number | 1295007995
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Entity Type | Organization
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Legal Business Name | ANNE JAMES INC
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 4835 MANHATTAN DRIVE
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City | ROCKFORD
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State | IL
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Zip | 61108
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Country | US
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Telephone | 815-229-9100
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Fax | 815-229-9100
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Provider Business Mailing Address
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Address Line | 4835 MANHATTAN DRIVE
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City | ROCKFORD
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State | IL
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Zip | 61108
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Country | US
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Telephone | 815-229-9100
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Fax | 815-229-9102
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANNE KRAUSE WILSON
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Credential |
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Telephone | 815-229-9100
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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 | 3000216
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License Number State | IL
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