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General NPI Number Information
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NPI Number | 1104604883
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Entity Type | Organization
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Legal Business Name | EASE IN THE HOUSE DBA @EASE
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 21 WYNSTONE WAY
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City | N BARRINGTON
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State | IL
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Zip | 60010-6950
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Country | US
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Telephone | 773-551-7164
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Fax |
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Provider Business Mailing Address
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Address Line | 21 WYNSTONE WAY
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City | N BARRINGTON
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State | IL
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Zip | 60010-6950
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Country | US
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Telephone | 773-551-7164
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER LEE BRENEMAN
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Credential |
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Telephone | 773-551-7164
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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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