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General NPI Number Information
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NPI Number | 1710140348
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Entity Type | Organization
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Legal Business Name | DANE ENTERPRISE INC.
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 1250 S GROVE AVE STE 200
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City | BARRINGTON
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State | IL
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Zip | 60010-5011
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Country | US
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Telephone | 847-304-0123
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Fax | 847-382-1787
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Provider Business Mailing Address
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Address Line | 1250 S GROVE AVE STE 200
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City | BARRINGTON
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State | IL
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Zip | 60010-5011
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Country | US
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Telephone | 847-304-0123
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Fax | 847-382-1787
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MR. DIEGO URIBE
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Credential |
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Telephone | 847-304-0123
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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 |
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License Number State | IL
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