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General NPI Number Information
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NPI Number | 1669851465
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Entity Type | Organization
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Legal Business Name | NOVACARE SERVICES
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 10001 DERBY LN SUITE 201
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City | WESTCHESTER
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State | IL
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Zip | 60154-3749
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Country | US
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Telephone | 708-655-4573
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Fax | 708-223-4190
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Provider Business Mailing Address
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Address Line | 10001 DERBY LANE SUITE 201
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City | WESTCHESTER
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State | IL
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Zip | 60154-3749
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Country | US
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Telephone | 708-223-4667
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Fax | 708-223-4190
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SALLY A NWAFOR
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Credential | RN
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Telephone | 708-953-1476
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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 | 3000991
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 4000463
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License Number State | IL
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