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General NPI Number Information
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NPI Number | 1053400085
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Entity Type | Organization
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Legal Business Name | HCN HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/04/2009
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Provider Practice Location Address
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Address Line | 6288 N CICERO AVE
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City | CHICAGO
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State | IL
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Zip | 60646
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Country | US
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Telephone | 773-545-9236
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Fax | 773-545-6708
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Provider Business Mailing Address
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Address Line | 6288 N CICERO AVE
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City | CHICAGO
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State | IL
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Zip | 60646-4918
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Country | US
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Telephone | 773-545-9236
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Fax | 773-545-6708
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ESTRELLITA G. DUQUILLA
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Credential |
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Telephone | 773-545-9236
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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 | 1010229
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License Number State | IL
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