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General NPI Number Information
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NPI Number | 1023414976
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Entity Type | Organization
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Legal Business Name | HOUSEPITAL COMPANY
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 1016 W JACKSON BLVD
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City | CHICAGO
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State | IL
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Zip | 60607-2914
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Country | US
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Telephone | 888-273-5650
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Fax | 888-293-5650
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Provider Business Mailing Address
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Address Line | 1016 W JACKSON BLVD
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City | CHICAGO
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State | IL
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Zip | 60607-2914
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Country | US
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Telephone | 188-827-3565
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Fax | 188-829-3565
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Authorized Official
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Title or Position | CONSULTANT
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Name | LASHUNTE WALTON
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Credential |
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Telephone | 312-282-1593
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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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