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General NPI Number Information
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NPI Number | 1457314130
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Entity Type | Organization
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Legal Business Name | PRISM HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 1337 BASSWOOD ROAD
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4536
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Country | US
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Telephone | 847-310-4730
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Fax | 872-469-1673
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Provider Business Mailing Address
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Address Line | 1337 BASSWOOD ROAD
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4536
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Country | US
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Telephone | 847-310-4730
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Fax | 847-310-4735
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | NEIDA MACK
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Credential |
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Telephone | 847-230-8835
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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 | 203000156
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License Number State | IL
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