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General NPI Number Information
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NPI Number | 1841532694
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Entity Type | Organization
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Legal Business Name | INCLUSIVE ASSISTANCE CORP
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 2S680 CREE LANE
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City | WHEATON
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State | IL
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Zip | 60189
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Country | US
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Telephone | 630-456-4760
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Fax | 630-665-1690
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Provider Business Mailing Address
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Address Line | 618 S. NORTHWEST HWY #183
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City | BARRINGTON
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State | IL
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Zip | 60010
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Country | US
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Telephone | 630-456-4760
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Fax | 630-665-1690
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CHRISTINE L BROWNING
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Credential | R.N.
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Telephone | 630-456-4760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 4000412
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3000998
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License Number State | IL
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