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General NPI Number Information
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NPI Number | 1083714315
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Entity Type | Organization
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Legal Business Name | SPS HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8427 CRAWFORD AVE
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City | SKOKIE
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State | IL
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Zip | 60076-2120
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Country | US
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Telephone | 847-673-9940
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Fax | 847-673-9946
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Provider Business Mailing Address
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Address Line | 8427 CRAWFORD AVE
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City | SKOKIE
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State | IL
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Zip | 60076-2120
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Country | US
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Telephone | 847-673-9940
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Fax | 847-673-9946
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARIE ANNE PHILIDOR
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Credential | RN
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Telephone | 847-673-9940
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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 |
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License Number State |
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