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General NPI Number Information
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NPI Number | 1376989582
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Entity Type | Organization
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Legal Business Name | DUPAGE SENIOR CITIZEN COUNCIL
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 1990 SPRINGER DRIVE
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City | LOMBARD
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State | IL
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Zip | 60148
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Country | US
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Telephone | 630-620-0804
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Fax | 630-620-1158
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Provider Business Mailing Address
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Address Line | 1990 SPRINGER DRIVE
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City | LOMBARD
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State | IL
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Zip | 60148
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Country | US
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Telephone | 630-620-0804
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Fax | 630-620-1158
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MARYLIN KROLAK
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Credential |
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Telephone | 630-620-0804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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