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General NPI Number Information
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NPI Number | 1932305950
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Entity Type | Organization
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Legal Business Name | GSP UNITED LLC
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 188 W INDUSTRIAL DR SUITE 124
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City | ELMHURST
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State | IL
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Zip | 60126-1623
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Country | US
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Telephone | 630-359-6660
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Fax | 630-279-7325
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Provider Business Mailing Address
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Address Line | 188 W INDUSTRIAL DR SUITE 124
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City | ELMHURST
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State | IL
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Zip | 60126-1623
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Country | US
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Telephone | 630-359-6660
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Fax | 630-279-7325
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BERNARD BULGER
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Credential |
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Telephone | 630-359-6660
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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 | 2007-N0020
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License Number State | IL
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