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General NPI Number Information
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NPI Number | 1093119521
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Entity Type | Organization
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Legal Business Name | 3 H CARE INC.
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 06/26/2015
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Provider Practice Location Address
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Address Line | 4850 S LAKE PARK AVE APT 1710
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City | CHICAGO
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State | IL
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Zip | 60615-2073
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Country | US
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Telephone | 773-548-4387
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Fax |
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Provider Business Mailing Address
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Address Line | 4850 S LAKE PARK AVE APT 1710
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City | CHICAGO
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State | IL
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Zip | 60615-2073
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Country | US
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Telephone | 773-548-4387
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RITA WILLIAMSON HARRIS
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Credential |
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Telephone | 773-548-4387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 3000974
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License Number State | IL
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