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General NPI Number Information
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NPI Number | 1689865818
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Entity Type | Organization
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Legal Business Name | TAKE CARE HEALTH SERVICES PA
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 03/20/2019
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Provider Practice Location Address
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Address Line | 408 E MICHIGAN ST
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City | ORLANDO
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State | FL
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Zip | 32806-4542
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Country | US
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Telephone | 855-925-4733
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Fax | 217-709-2345
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Provider Business Mailing Address
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Address Line | 1901 E VOORHEES ST MS 640
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City | DANVILLE
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State | IL
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Zip | 61832-4509
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Country | US
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Telephone | 855-925-4733
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Fax | 217-709-2345
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | DEBORAH HEGG
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Credential |
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Telephone | 217-709-2469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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