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General NPI Number Information
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NPI Number | 1023130424
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Entity Type | Organization
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Legal Business Name | MILLENNIUM HOME HEALTH CARE INC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 2090 LARKIN AVE STE 1A
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City | ELGIN
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State | IL
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Zip | 60123-5848
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Country | US
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Telephone | 224-268-3953
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Fax | 224-856-5390
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Provider Business Mailing Address
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Address Line | 2090 LARKIN AVE STE 1A
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City | ELGIN
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State | IL
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Zip | 60123-5848
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Country | US
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Telephone | 224-268-3953
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Fax | 224-856-5390
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NINA AGBISIT
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Credential | R.N.
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Telephone | 224-268-3953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1010691
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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