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General NPI Number Information
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NPI Number | 1982899340
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Entity Type | Organization
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Legal Business Name | I CARE SURGICAL ASSISTANCE INC.
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 1587 LANCELOT AVE
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-2218
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Country | US
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Telephone | 847-917-3666
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Fax | 888-370-3138
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Provider Business Mailing Address
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Address Line | PO BOX 448
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-0448
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Country | US
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Telephone | 847-917-3666
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Fax | 888-370-3138
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Authorized Official
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Title or Position | REGISTERED SURGICAL ASSISTANT- CERT
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Name | MR. WILLIAM HENRY PRICE
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Credential | RSA
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Telephone | 847-917-3666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 238.000016
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License Number State | IL
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