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General NPI Number Information
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NPI Number | 1093409542
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Entity Type | Organization
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Legal Business Name | VITA HOME CARE, INC.
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 346 ANTHONY TRL
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City | NORTHBROOK
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State | IL
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Zip | 60062-2014
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Country | US
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Telephone | 872-257-8653
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Fax |
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Provider Business Mailing Address
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Address Line | 346 ANTHONY TRL
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City | NORTHBROOK
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State | IL
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Zip | 60062-2014
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Country | US
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Telephone | 872-257-8653
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARIANNA POKOTYLO
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Credential | RN
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Telephone | 872-257-8653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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