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General NPI Number Information
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NPI Number | 1528348083
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Entity Type | Organization
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Legal Business Name | JOEY'S HOUSE NFP
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Dates
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Enumeration Date | 08/27/2011
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Last Update Date | 08/27/2011
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Provider Practice Location Address
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Address Line | 23737 W MILTON RD
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City | WAUCONDA
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State | IL
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Zip | 60084-2623
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Country | US
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Telephone | 815-529-3197
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Fax | 847-949-9778
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Provider Business Mailing Address
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Address Line | 23737 W MILTON RD
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City | WAUCONDA
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State | IL
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Zip | 60084-2623
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Country | US
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Telephone | 815-529-3197
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Fax | 847-949-9778
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARRIE LYNN ALANI
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Credential | R.N.
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Telephone | 815-529-3197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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