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General NPI Number Information
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NPI Number | 1619521127
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Entity Type | Organization
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Legal Business Name | CALCIUM LLC
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Dates
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Enumeration Date | 08/01/2019
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 505 E CARPENTER DR
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City | PALATINE
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State | IL
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Zip | 60074-3705
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Country | US
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Telephone | 847-254-2480
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1506
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City | PALATINE
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State | IL
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Zip | 60078-1506
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Country | US
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Telephone | 630-884-9321
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TERRENCE RYAN
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Credential |
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Telephone | 847-917-7877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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