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General NPI Number Information
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NPI Number | 1891246526
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Entity Type | Organization
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Legal Business Name | PARKER CROMWELL ASSOC. LTD
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 122B W CALENDAR AVE
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City | LA GRANGE
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State | IL
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Zip | 60525-3098
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Country | US
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Telephone | 708-352-4663
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Fax | 708-352-8350
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Provider Business Mailing Address
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Address Line | 122B W CALENDAR AVE
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City | LA GRANGE
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State | IL
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Zip | 60525-3098
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Country | US
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Telephone | 708-352-4663
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Fax | 708-352-8350
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Authorized Official
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Title or Position | CARE PLAN MANAGER
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Name | PEGGY FERRARO
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Credential |
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Telephone | 708-352-4663
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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 | 3000469
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License Number State | IL
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