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General NPI Number Information
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NPI Number | 1760916258
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Entity Type | Organization
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Legal Business Name | DW CARE SOLUTIONS CORPORATION
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 4556 OAKTON ST SUITE 200
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City | SKOKIE
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State | IL
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Zip | 60076-3174
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Country | US
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Telephone | 847-679-4387
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Fax | 847-679-4437
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Provider Business Mailing Address
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Address Line | 4556 OAKTON ST SUITE 200
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City | SKOKIE
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State | IL
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Zip | 60076-3174
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Country | US
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Telephone | 847-679-4387
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Fax | 847-679-4437
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DAWN M WAGNER
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Credential | RN
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Telephone | 847-626-4575
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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 | 3001191
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License Number State | IL
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