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General NPI Number Information
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NPI Number | 1518635952
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Entity Type | Organization
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Legal Business Name | COLBAR HEALTHCARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 201 W 69TH ST
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City | CHICAGO
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State | IL
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Zip | 60621-3719
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Country | US
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Telephone | 773-487-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 CHURCHILL DR
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1408
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Country | US
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Telephone | 630-312-8165
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Fax | 630-296-0295
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHERWONNA BARRON
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Credential | FNP-BC
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Telephone | 630-956-6493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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