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General NPI Number Information
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NPI Number | 1992688261
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Entity Type | Organization
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Legal Business Name | AVOA HEALTH LLC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 8213 HAMLIN AVE
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City | SKOKIE
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State | IL
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Zip | 60076-3310
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Country | US
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Telephone | 312-804-5900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5
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City | KENILWORTH
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State | IL
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Zip | 60043-0005
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Country | US
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Telephone | 312-804-5900
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | SEAN KEEN
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Credential |
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Telephone | 312-804-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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