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General NPI Number Information
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NPI Number | 1124937370
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Entity Type | Organization
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Legal Business Name | AN HONORABLE LIVING
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 1209 N DOUGLAS ST
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City | PEORIA
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State | IL
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Zip | 61606-1304
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Country | US
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Telephone | 309-256-4051
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 N DOUGLAS ST
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City | PEORIA
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State | IL
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Zip | 61606-1304
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Country | US
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Telephone | 309-256-4051
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | QUINTINA HONORABLE
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Credential |
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Telephone | 309-256-4051
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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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