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NPI 1407499007

NPI 1407499007 : YOU MATTER WE CARE L.L.C. : MONTGOMERY, IL

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General NPI Number Information
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    NPI Number           |    1407499007
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    Entity Type          |    Organization 
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    Legal Business Name  |    YOU MATTER WE CARE L.L.C. 
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Dates
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    Enumeration Date     |    10/26/2019
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    Last Update Date     |    01/02/2022
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Provider Practice Location Address
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    Address Line         |    1361 MANNING AVE 
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    City                 |    MONTGOMERY
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    State                |    IL
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    Zip                  |    60538-1076
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    Country              |    US
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    Telephone            |    847-641-7100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1361 MANNING AVE 
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    City                 |    MONTGOMERY
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    State                |    IL
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    Zip                  |    60538-1076
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    Country              |    US
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    Telephone            |    847-641-7100
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     TINIKI  FOX 
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    Credential           |    PHLEBOTOMIST
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    Telephone            |    847-852-4888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    246RP1900X
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    Taxonomy Name        |    Phlebotomy Technician
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    License Number       |    
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    License Number State |    
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