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General NPI Number Information
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NPI Number | 1609224211
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Entity Type | Organization
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Legal Business Name | EMPOWER HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 495 N COMMONS DR STE 100
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City | AURORA
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State | IL
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Zip | 60504-8222
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Country | US
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Telephone | 630-405-5125
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Fax | 630-708-8416
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Provider Business Mailing Address
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Address Line | 495 N COMMONS DR STE 100
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City | AURORA
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State | IL
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Zip | 60504-8222
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Country | US
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Telephone | 630-405-5125
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MR. GARY MICHAEL FINE
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Credential | MBA
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Telephone | 630-886-6410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State | IL
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