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General NPI Number Information
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NPI Number | 1508937616
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Entity Type | Organization
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Legal Business Name | CARING ASSISTIVE LIVING MANAGEMENT
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Dates
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Enumeration Date | 11/11/2006
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Last Update Date | 01/22/2010
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Provider Practice Location Address
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Address Line | 114 LINCOLN MALL DR
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City | MATTESON
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State | IL
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Zip | 60443-2331
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Country | US
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Telephone | 708-833-8953
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Fax | 708-248-7509
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Provider Business Mailing Address
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Address Line | 114 LINCOLN MALL DR
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City | MATTESON
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State | IL
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Zip | 60443-2331
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Country | US
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Telephone | 708-833-8953
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Fax | 708-248-7509
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JOAN DIANE ADAMS-ALSBERRY
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Credential | PT
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Telephone | 708-833-8953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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