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General NPI Number Information
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NPI Number | 1316975212
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Entity Type | Organization
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Legal Business Name | HOOSIER CARE INC
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 2601 WOODLAWN RD
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City | STERLING
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State | IL
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Zip | 61081-4151
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Country | US
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Telephone | 815-626-5820
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Fax | 815-626-5822
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Provider Business Mailing Address
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Address Line | 2601 WOODLAWN RD
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City | STERLING
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State | IL
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Zip | 61081-4151
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Country | US
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Telephone | 815-626-5820
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Fax | 815-626-5822
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. MELISSA FRANCQUE
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Credential |
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Telephone | 815-626-5820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 0035477
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License Number State | IL
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