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NPI 1831104546

NPI 1831104546 : POINTCORE, INC. : LOVES PARK, IL

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General NPI Number Information
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    NPI Number           |    1831104546
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    Entity Type          |    Organization 
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    Legal Business Name  |    POINTCORE, INC. 
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Dates
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    Enumeration Date     |    07/30/2006
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    Last Update Date     |    03/18/2024
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Provider Practice Location Address
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    Address Line         |    9951 ROCK CUT CROSSING 
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    City                 |    LOVES PARK
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    State                |    IL
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    Zip                  |    61111
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    Country              |    US
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    Telephone            |    815-921-8700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    124 SW ADAMS ST 
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    City                 |    PEORIA
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    State                |    IL
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    Zip                  |    61602-1320
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    Country              |    US
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    Telephone            |    309-655-2850
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    Fax                  |    309-655-4878
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ROBERT C SEHRING 
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    Credential           |    
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    Telephone            |    309-655-2850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336H0001X
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    Taxonomy Name        |    Home Infusion Therapy Pharmacy
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    License Number       |    
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    License Number State |    
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