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General NPI Number Information
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NPI Number | 1134399207
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Entity Type | Organization
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Legal Business Name | LINCOLN PARK HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 6045 N LINCOLN AVE 2ND FLOOR
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City | CHICAGO
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State | IL
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Zip | 60659-2435
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Country | US
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Telephone | 773-465-3006
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Fax | 773-465-3007
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Provider Business Mailing Address
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Address Line | 6045 N LINCOLN AVE 2ND FLOOR
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City | CHICAGO
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State | IL
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Zip | 60659-2435
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Country | US
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Telephone | 773-465-3006
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Fax | 773-465-3007
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DOV SOLOMON
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Credential | LNHA
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Telephone | 773-465-3006
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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 | 1010787
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License Number State | IL
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