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General NPI Number Information
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NPI Number | 1710726690
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Entity Type | Organization
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Legal Business Name | HOLYSTIK CARE LLC
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 1320 TOWER RD STE 109
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4309
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Country | US
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Telephone | 847-301-4333
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 COLCHESTER LN
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City | AURORA
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State | IL
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Zip | 60505-9500
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Country | US
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Telephone | 630-864-8099
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. HARISH JITENDRA DOSHI
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Credential |
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Telephone | 630-864-8099
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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 |
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License Number State |
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