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General NPI Number Information
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NPI Number | 1629308689
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Entity Type | Organization
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Legal Business Name | CARE SPECIALISTS, INC
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Dates
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Enumeration Date | 01/13/2010
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 2237 S WENTWORTH AVE STE 304-306
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City | CHICAGO
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State | IL
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Zip | 60616-2011
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Country | US
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Telephone | 312-225-2501
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Fax | 312-225-0847
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Provider Business Mailing Address
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Address Line | 2237 S WENTWORTH AVE STE 304-306
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City | CHICAGO
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State | IL
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Zip | 60616-2011
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Country | US
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Telephone | 312-225-2501
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Fax | 312-225-0847
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FERDINAND MARLO CAGULADA ECHAVIA
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Credential | RN, BSN
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Telephone | 312-225-2501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1954519
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License Number State | IL
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