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General NPI Number Information
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NPI Number | 1710264643
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Entity Type | Organization
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Legal Business Name | DV MANAGEMENT SERVICES GROUP,INC.
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Dates
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Enumeration Date | 11/06/2011
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Last Update Date | 11/06/2011
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Provider Practice Location Address
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Address Line | 7927 S VERNON AVE 1ST FL
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City | CHICAGO
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State | IL
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Zip | 60619-3711
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Country | US
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Telephone | 773-723-1185
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Fax |
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Provider Business Mailing Address
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Address Line | 7927 S VERNON AVE 1ST FL
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City | CHICAGO
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State | IL
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Zip | 60619-3711
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Country | US
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Telephone | 773-723-1185
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Fax |
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Authorized Official
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Title or Position | PRESIDENT /CEO
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Name | MR. DANDREA L ADAMS
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Credential |
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Telephone | 312-307-4930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | D6756-841-9
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License Number State | IL
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | IL
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