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General NPI Number Information
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NPI Number | 1124279799
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Entity Type | Organization
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Legal Business Name | AUSPEX HOME HEALTH CARE SERVICES INCORPORATED
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 6246 N PULASKI RD SUITE 1A
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City | CHICAGO
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State | IL
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Zip | 60646-5100
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Country | US
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Telephone | 773-283-2648
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Fax | 773-283-3565
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Provider Business Mailing Address
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Address Line | 6246 N PULASKI RD SUITE 1A
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City | CHICAGO
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State | IL
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Zip | 60646-5100
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Country | US
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Telephone | 773-283-2648
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Fax | 773-283-3565
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Authorized Official
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Title or Position | NURSE SUPERVISOR
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Name | MS. LUCHIE SAILE PACULBA
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Credential | RN
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Telephone | 773-822-1126
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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 | 1010856
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License Number State | IL
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