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General NPI Number Information
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NPI Number | 1659601169
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Entity Type | Organization
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Legal Business Name | COMPCARE RESOURCES
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Dates
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Enumeration Date | 01/05/2010
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 12937 CATHY LN
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City | PLAINFIELD
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State | IL
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Zip | 60585-8163
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Country | US
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Telephone | 815-254-6566
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Fax | 815-254-6543
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Provider Business Mailing Address
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Address Line | 12937 CATHY LN
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City | PLAINFIELD
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State | IL
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Zip | 60585-8163
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Country | US
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Telephone | 815-254-6566
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Fax | 815-254-6543
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. MARIA UMINSKI
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Credential |
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Telephone | 815-254-6566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 27197931
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License Number State | IL
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