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General NPI Number Information
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NPI Number | 1962886077
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Entity Type | Organization
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Legal Business Name | BEST CARE FOR WOMEN INC
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 08/03/2015
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Provider Practice Location Address
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Address Line | 4333 MAIN ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2869
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Country | US
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Telephone | 630-810-9658
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Fax | 630-810-1027
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Provider Business Mailing Address
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Address Line | 4333 MAIN ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2869
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Country | US
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Telephone | 630-810-9658
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Fax | 630-810-1027
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ANTHONY JAMES CARUSO
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Credential | MD
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Telephone | 630-747-9277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 036089891
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License Number State | IL
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