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General NPI Number Information
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NPI Number | 1780886796
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Entity Type | Organization
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Legal Business Name | VALUE REAL ESTATE SOLUTIONS LLC
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 810 W CHICAGO AVE
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City | EAST CHICAGO
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State | IN
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Zip | 46312-3307
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Country | US
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Telephone | 219-392-0500
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Fax | 219-392-0503
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Provider Business Mailing Address
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Address Line | 810 W CHICAGO AVE
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City | EAST CHICAGO
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State | IN
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Zip | 46312-3307
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Country | US
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Telephone | 219-392-0500
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Fax | 219-392-0503
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Authorized Official
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Title or Position | OWNER /MANAGER
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Name | MRS. NATALLIA KASMOUSKAYA
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Credential | OWNER
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Telephone | 708-717-6837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 17-003259-1
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License Number State | IN
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