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General NPI Number Information
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NPI Number | 1538817382
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Entity Type | Organization
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Legal Business Name | FOX RIVER VALLEY CARE AT HOME, LTD.
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Dates
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Enumeration Date | 03/11/2022
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 415 E STATE ST STE A
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City | GENEVA
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State | IL
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Zip | 60134-2302
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Country | US
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Telephone | 331-248-6116
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Fax | 331-248-6278
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Provider Business Mailing Address
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Address Line | 7464 FAIRWAY DR
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City | YORKVILLE
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State | IL
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Zip | 60560-3264
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Country | US
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Telephone | 331-248-6116
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Fax | 331-248-6278
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL SCHWARTZ
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Credential |
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Telephone | 331-248-6116
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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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