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General NPI Number Information
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NPI Number | 1407020571
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Entity Type | Organization
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Legal Business Name | ALLCARES, INC-WAIVER
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 522 W 2ND ST
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City | BLOOMINGTON
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State | IN
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Zip | 47403-2316
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Country | US
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Telephone | 812-339-1555
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Fax | 812-332-2284
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Provider Business Mailing Address
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Address Line | 522 W 2ND ST
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City | BLOOMINGTON
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State | IN
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Zip | 47403-2316
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Country | US
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Telephone | 812-339-1555
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Fax | 812-332-2284
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEVEN D HATTON
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Credential |
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Telephone | 812-339-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 69000177A
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License Number State | IN
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