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General NPI Number Information
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NPI Number | 1770622607
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Entity Type | Organization
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Legal Business Name | INDEPENDENT HEALTH CARE, INC.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 2970 CHAPEL VALLEY RD STE. 203
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City | MADISON
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State | WI
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Zip | 53711-7424
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Country | US
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Telephone | 608-274-7900
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Fax | 608-274-9181
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Provider Business Mailing Address
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Address Line | 2970 CHAPEL VALLEY RD STE. 203
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City | MADISON
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State | WI
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Zip | 53711-7424
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Country | US
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Telephone | 608-274-7900
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Fax | 608-274-9181
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Authorized Official
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Title or Position | PRESIDENT
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Name | RITA GIOVANNONI
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Credential |
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Telephone | 608-274-7900
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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 | 294
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License Number State | WI
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