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General NPI Number Information
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NPI Number | 1407253396
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Entity Type | Organization
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Legal Business Name | REAL CONNECTIONS LLC
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 6031 N KENMORE AVE
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City | CHICAGO
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State | IL
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Zip | 60660-5004
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Country | US
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Telephone | 773-812-4240
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Fax |
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Provider Business Mailing Address
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Address Line | 2522 W LAWRENCE AVE UNIT 25082
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City | CHICAGO
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State | IL
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Zip | 60625-8891
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHARON OPOOLA
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Credential |
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Telephone | 773-812-4240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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