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General NPI Number Information
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NPI Number | 1972847796
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Entity Type | Organization
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Legal Business Name | SPECIAL CARE NURSES OF AMERICA, LLC
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6817 W 167TH ST
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City | TINLEY PARK
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State | IL
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Zip | 60477
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Country | US
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Telephone | 708-248-8388
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Fax | 708-248-8398
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Provider Business Mailing Address
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Address Line | 6817 W 167TH ST
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City | TINLEY PARK
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State | IL
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Zip | 60477
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Country | US
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Telephone | 708-248-8388
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Fax | 708-248-8398
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. DEAN JUDICKAS
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Credential |
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Telephone | 708-248-8388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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