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General NPI Number Information
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NPI Number | 1427915883
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Entity Type | Organization
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Legal Business Name | MIDWEST SHELTER FOR HOMELESS VETERANS INC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 433 S CARLTON AVE
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City | WHEATON
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State | IL
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Zip | 60187-4872
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Country | US
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Telephone | 630-871-8387
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Fax | 630-653-6748
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Provider Business Mailing Address
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Address Line | 433 S CARLTON AVE
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City | WHEATON
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State | IL
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Zip | 60187-4872
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Country | US
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Telephone | 630-871-8387
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Fax | 630-653-6748
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Authorized Official
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Title or Position | CREDENTIALER
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Name | KATHLEEN ELLEN LLOYD
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Credential | CMA, CFE, CPC
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Telephone | 804-388-3507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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