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General NPI Number Information
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NPI Number | 1477156420
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Entity Type | Organization
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Legal Business Name | CAPENA SENIOR SERVICES LLC
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 477 E BUTTERFIELD RD STE 202
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City | LOMBARD
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State | IL
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Zip | 60148-4879
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Country | US
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Telephone | 630-426-1356
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Fax |
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Provider Business Mailing Address
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Address Line | 140 N CLARA PL
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City | ELMHURST
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State | IL
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Zip | 60126-2930
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Country | US
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Telephone | 630-561-2739
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFREY JAUNICH
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Credential |
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Telephone | 630-561-2739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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