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General NPI Number Information
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NPI Number | 1568266039
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Entity Type | Organization
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Legal Business Name | AWE CHARITY FOUNDATION
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 6049 DEMPSTER ST
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City | MORTON GROVE
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State | IL
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Zip | 60053-2943
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Country | US
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Telephone | 847-800-1655
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Fax | 847-470-0650
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Provider Business Mailing Address
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Address Line | PO BOX 342
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City | MORTON GROVE
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State | IL
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Zip | 60053-0342
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Country | US
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Telephone | 847-309-1402
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Fax | 847-470-0650
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | HYUNSOOK J KIM
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Credential |
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Telephone | 847-309-1402
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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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